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LUIS JUNIOR DIAZ MENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12820 SW 146TH TER, MIAMI, FL 33186-6358
(786) 378-1171
Mailing address
12820 SW 146TH TER, MIAMI, FL 33186-6358
(786) 378-1171

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1179618
TX

Other

Enumeration date
08/19/2024
Last updated
01/20/2025
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