Individual
DR. DESI DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10301 GATEWAY BLVD W, EL PASO, TX 79925-7701
(915) 595-9000
Mailing address
1200 NW 113TH TER, MIAMI, FL 33167-3656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9419673
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
1150382
TX
Other
Enumeration date
12/06/2023
Last updated
02/21/2024
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