| Dr Carmen Diaz Pa | |
|
2100 Ponce De Leon Blvd Ste 1015 Coral Gables FL 33134-5240 | |
| (786) 514-8812 | |
| Not Available |
| Full Name | Dr Carmen Diaz Pa |
|---|---|
| Speciality | Psychologist |
| Location | 2100 Ponce De Leon Blvd Ste 1015, Coral Gables, Florida |
| Authorized Official Name and Position | Carmen B Diaz (PRESIDENT, DIRECTOR) |
| Authorized Official Contact | 7865148812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carmen Diaz Pa 5563 Sw 6th St Coral Gables FL 33134-1057 Ph: (786) 514-8812 | Dr Carmen Diaz Pa 2100 Ponce De Leon Blvd Ste 1015 Coral Gables FL 33134-5240 Ph: (786) 514-8812 |
| NPI Number | 1801801600 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 03/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801801600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY4145 (Florida) | Primary |
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