Individual
NIYASDEEN DIEGUEZ SANTIESTEBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(786) 599-3419
Mailing address
9910 W CALUSA CLUB DR, MIAMI, FL 33186-1512
(786) 599-3419
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
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