Individual
MARIA DEL CARMEN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13871 SW 112TH ST, MIAMI, FL 33186-3266
(786) 493-6220
(305) 388-8849
Mailing address
13871 SW 112TH ST, MIAMI, FL 33186-3266
(786) 493-6220
(305) 388-8849
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL8227
AHCA
FL
Enumeration date
01/18/2008
Last updated
01/18/2008
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