Individual
DAISI RIVA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12030 SW 129TH CT STE 206, MIAMI, FL 33186-4584
(305) 432-4032
Mailing address
12030 SW 129TH CT STE 206, MIAMI, FL 33186-4584
(305) 432-4032
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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