Individual
LAZARO J DIAZ IGLESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 NW 107TH AVE STE 110, MIAMI, FL 33172-3104
(786) 636-1402
(786) 636-1403
Mailing address
715 AVE PONCE DE LEON STOP 37.5, HATO REY, PR 00917-5032
(787) 758-2000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1561
FL
Other
Enumeration date
05/17/2022
Last updated
10/18/2024
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