Individual
TONY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7100 W 20TH AVE, STE 101, HIALEAH, FL 33016-1897
(305) 822-0401
(305) 824-1748
Mailing address
7100 W 20TH AVE, STE 101, HIALEAH, FL 33016-1897
(305) 822-0401
(305) 824-1748
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
OS6699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046716
NEIGHBORHOOD HEALTH
FL
05
—
264540800
—
FL
01
—
288361
AVMED
FL
01
—
3395788
AETNA HMO
FL
01
—
47987
BCBS
FL
01
—
591272217
HUMANA
FL
01
—
7708523
AETNA PPO
FL
Enumeration date
06/09/2005
Last updated
12/06/2009
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