Individual
DIANA VILLAVICENCIO JUNCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 W 68TH ST FL 33016, HIALEAH, FL 33016-1898
(305) 823-5000
Mailing address
14317 SW 177TH ST, MIAMI, FL 33177-2620
(786) 988-5291
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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