Individual
IRACEMA DIAZ PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8491 NW 17TH ST STE 110, DORAL, FL 33126-1025
(305) 456-5542
Mailing address
14902 SW 173RD TER, MIAMI, FL 33187-6756
(305) 281-5408
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI6792
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ12597
FL
Other
Enumeration date
12/22/2023
Last updated
05/13/2025
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