Individual
MARKEL A CHIRINO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
13190 SW 134TH ST UNIT E-105, MIAMI, FL 33186-4459
(305) 763-5657
Mailing address
13190 SW 134TH ST UNIT E-105, MIAMI, FL 33186-4459
(305) 763-5657
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA58627
FL
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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