Individual
DR. ESTEBAN J DIAZ-RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D, P.A
Contact information
Practice address
777 E 25TH ST, SUITE 514, HIALEAH, FL 33013
(305) 835-7502
(305) 835-7541
Mailing address
777 E 25TH ST, SUITE 514, HIALEAH, FL 33013-3825
(305) 835-7502
(305) 835-7541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0066676
FL
207RN0300X
Nephrology Physician
Primary
ME66676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27475A
PTAN
FL
05
—
377911401
—
FL
Enumeration date
05/27/2006
Last updated
08/16/2018
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