Individual
MRS. MIDIALA E DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME130934
FL
282N00000X
General Acute Care Hospital
31573R
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021581600
—
FL
Enumeration date
12/12/2014
Last updated
03/09/2021
Update your record
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