Individual
GABRIEL DIAZ DE LAS CUEVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11229 SW 132ND PL, MIAMI, FL 33186-8130
(786) 624-7723
Mailing address
11229 SW 132ND PL, MIAMI, FL 33186-8130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11011616
FL
Other
Enumeration date
04/23/2022
Last updated
04/30/2022
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