Individual
LOURDES DIEGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 326-6543
(305) 326-6563
Mailing address
900 NW 17TH ST, MIAMI, FL 33136-1119
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3117612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077021-00
—
FL
01
—
G4008
BCBSF
FL
Enumeration date
06/03/2006
Last updated
05/07/2014
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