Individual
ALEJANDRO DIAZ DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1431 NW 13TH TER, MIAMI, FL 33125-2607
(305) 640-5326
(786) 294-0270
Mailing address
9837 W OKEECHOBEE RD APT 603, HIALEAH GARDENS, FL 33016-3144
(786) 587-6237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28970
FL
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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