Individual
REBECA M DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SW 132ND AVE, MIAMI, FL 33184-1106
(305) 728-9222
Mailing address
200 SW 132ND AVE, MIAMI, FL 33184-1106
(305) 728-9222
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005545000
—
FL
Enumeration date
05/10/2022
Last updated
05/10/2022
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