Individual
SUSANA DIAZ ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1053 NW 134TH PL, MIAMI, FL 33182-2277
(786) 350-6691
Mailing address
1053 NW 134TH PL, MIAMI, FL 33182-2277
(786) 350-6691
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-189527
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
F06250430
FL
Other
Enumeration date
10/22/2021
Last updated
07/30/2025
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