Individual
DR. DANIEL DIEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN/MD
Contact information
Practice address
11880 SW 40TH ST, SUITE 218, MIAMI, FL 33175-3584
(305) 552-5792
(305) 552-6119
Mailing address
11880 SW 40TH ST, SUITE 216, MIAMI, FL 33175-3584
(305) 552-5792
(305) 552-6119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0065528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376133900
—
FL
Enumeration date
07/26/2006
Last updated
08/07/2020
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