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Individual

MR. JUAN JOSE DIEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, CRNA, MPH

Contact information

Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5376
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5376

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9278955
FL
363L00000X
Nurse Practitioner
ARNP9278955
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
92494
FL

Other

Enumeration date
01/21/2013
Last updated
02/15/2023
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