Individual
MAIKEL GUERRA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 E 49TH ST, HIALEAH, FL 33013-1853
(786) 484-4096
Mailing address
11455 W FLAGLER ST APT 604, MIAMI, FL 33174-4016
(786) 484-4096
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11010778
FL
Other
Enumeration date
12/26/2020
Last updated
09/08/2021
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