Individual
ALFREDO DIAZ MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
904 SE 18TH ST, FLORIDA CITY, FL 33034-3562
(786) 296-2522
Mailing address
904 SE 18TH ST, FLORIDA CITY, FL 33034-3562
(786) 296-2522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9558036
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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