Individual
MR. MAURICIO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9995 SW 72ND ST STE 202, MIAMI, FL 33173-4662
(786) 360-1684
(786) 953-8431
Mailing address
9995 SW 72ND ST STE 202, MIAMI, FL 33173-4662
(786) 360-1684
(786) 953-8431
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MA54180
FL
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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