Individual
LIONEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 NW 13TH ST, HOMESTEAD, FL 33030-4228
(786) 596-6557
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 242-1131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME89155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43244
BCBS
FL
01
—
P00218146
RAILROAD MEDICARE
FL
Enumeration date
09/25/2006
Last updated
07/09/2007
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