Individual
LUIS MANUEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
790 NW 107TH AVE STE 301, MIAMI, FL 33172-3160
(786) 518-3353
Mailing address
2793 W 72ND PL, HIALEAH, FL 33016-5436
(786) 447-5932
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9569238
FL
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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