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Individual

DR. GERARDO DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME 103459
FL
208D00000X
General Practice Physician
Primary
ME103459
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ID: 138 851 733
FL
Enumeration date
03/19/2009
Last updated
10/30/2023
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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