Individual
MS. DIADENIS DIAZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PERSONAL
Contact information
Practice address
9243 NW 121ST TER, HIALEAH GARDENS, FL 33018-4224
(305) 910-7239
Mailing address
9243 NW 121ST TER, HIALEAH GARDENS, FL 33018-4224
(305) 910-7239
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19869
—
FL
Enumeration date
01/03/2018
Last updated
06/16/2018
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