Individual
MR. GENIEL ALBERTO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3416 POOLE RD STE 120, RALEIGH, NC 27610-2918
(919) 902-7366
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11005640
FL
363LF0000X
Family Nurse Practitioner
Primary
5024157
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109996400
—
FL
Enumeration date
02/09/2021
Last updated
06/12/2026
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