Individual
MR. GABRIEL DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP-BC
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-2160
(202) 741-2169
Mailing address
4400 W SPRUCE ST, APT 243, TAMPA, FL 33607-4149
(813) 598-1438
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP 9323295
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
NP500003630
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016403100
—
FL
01
—
P3Y45
BCBS ID
—
Enumeration date
11/19/2015
Last updated
07/20/2022
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