Individual
CARLOS ALBERTO DIAZ VALLADARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NPFA
Contact information
Practice address
16400 SW 173RD AVE, MIAMI, FL 33187-1251
(786) 488-4301
Mailing address
16400 SW 173RD AVE, MIAMI, FL 33187-1251
(786) 488-4301
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
25-227
FL
363L00000X
Nurse Practitioner
APRN11013392
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11013392
FL
Other
Enumeration date
06/18/2021
Last updated
04/17/2025
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