Organization
DR CARMEN DIAZ PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN B DIAZ PHD (PRESIDENT, DIRECTOR)
(786) 514-8812
Entity
Organization
Contact information
Practice address
2100 PONCE DE LEON BLVD STE 1015, CORAL GABLES, FL 33134-5240
(786) 514-8812
Mailing address
5563 SW 6TH ST, CORAL GABLES, FL 33134-1057
(786) 514-8812
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY4145
FL
Other
Enumeration date
07/30/2006
Last updated
03/20/2015
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