Individual
NIYASDEEN DIEGUEZ SANTIESTEBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 124313
FL
208000000X
Pediatrics Physician
ME124313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373797731
—
FL
01
—
ME124313
LICENSE
FL
Enumeration date
07/12/2012
Last updated
03/07/2023
Update your record
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