Individual
MIGUEL ENRIQUE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 SW 87TH AVE, MIAMI, FL 33174-3206
(305) 988-8260
(786) 396-1466
Mailing address
911 SW 87TH AVE, MIAMI, FL 33174-3206
(305) 988-8260
(786) 396-1466
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME160574
FL
208D00000X
General Practice Physician
Primary
ME160574
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/31/2016
Last updated
06/17/2024
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