Organization
BENESSERE SPECIALTY MEDICAL GROUP LLCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS DIAZ PA (OWNER)
(786) 506-1786
Entity
Organization
Contact information
Practice address
790 NW 107TH AVE STE 301, MIAMI, FL 33172-3160
(305) 392-0968
(786) 953-6559
Mailing address
790 NW 107TH AVE STE 301, MIAMI, FL 33172-3160
(305) 392-0968
(786) 953-6559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/17/2025
Last updated
09/15/2025
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