Organization
DIANA MARIA BARALT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA MARIA BARALT MD (PRESIDENT)
(305) 443-8885
Entity
Organization
Contact information
Practice address
1800 SW 27TH AVE, SUITE 207, MIAMI, FL 33145-2457
(305) 443-8885
(305) 443-8886
Mailing address
1118 CAPRI ST, CORAL GABLES, FL 33134-2406
(305) 661-9568
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0072403
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38066
BLUE CROSS BLUE SHIELD FL
FL
01
—
ME0072403
MEDICAL DOCTOR LICENSE
FL
Enumeration date
02/27/2007
Last updated
07/29/2010
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