Individual
DR. MANUEL JESUS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7800 SW 57TH AVE STE 106, SOUTH MIAMI, FL 33143-5551
(305) 476-7771
(305) 442-0121
Mailing address
7800 SW 57TH AVE STE 106, SOUTH MIAMI, FL 33143-5551
(305) 476-7771
(305) 442-0121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME88049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268539600
—
FL
Enumeration date
12/08/2005
Last updated
05/02/2019
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