Individual
DR. CARLOS S DIAZ BARCELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2219 WILTON DR, WILTON MANORS, FL 33305-2131
(954) 807-8916
Mailing address
2219 WILTON DR, WILTON MANORS, FL 33305-2131
(954) 807-8916
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18116
PR
208D00000X
General Practice Physician
Primary
ACN808
FL
208D00000X
General Practice Physician
Primary
ME158780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN808
MEDICAL KICENSE
FL
01
—
ME158780
FL MEDICAL LICENSE
FL
Enumeration date
12/27/2010
Last updated
07/30/2026
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