Individual
MARVIN DIAZ-LACAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21150 BISCAYNE BLVD, STE 101, AVENTURA, FL 33180-1226
(305) 932-4198
(305) 932-9102
Mailing address
21150 BISCAYNE BLVD, STE 101, AVENTURA, FL 33180-1226
(305) 932-4198
(305) 932-9102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0022072
FL
Other
Enumeration date
05/23/2005
Last updated
12/28/2007
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