Individual
DR. JOAQUIN NICOLAS DIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7190 SW 87TH AVE, SUITE# 202, MIAMI, FL 33173-2507
(305) 270-3075
(305) 412-6338
Mailing address
7190 SW 87 AVENUE, SUITE# 202, MIAMI, FL 33173-3259
(305) 270-3075
(305) 412-6338
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME56696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004311
NHP
FL
05
—
054326800
—
FL
Enumeration date
10/28/2005
Last updated
05/13/2013
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