Individual
LIENA TERESA TERRERO DIEGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 W 49TH ST STE 206, HIALEAH, FL 33012-3441
(305) 571-6292
Mailing address
15454 SW 85TH LN, MIAMI, FL 33193-1241
(786) 800-7711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
208D00000X
General Practice Physician
Primary
1704
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2019
Last updated
05/26/2025
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