| Nora Dieguez Phd Pa | |
|
100 Miracle Mile Suite 330 Coral Gables FL 33134-5430 | |
| (305) 445-9554 | |
| (786) 235-1074 |
| Full Name | Nora Dieguez Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 100 Miracle Mile, Coral Gables, Florida |
| Authorized Official Name and Position | Nora Dieguez (OWNER) |
| Authorized Official Contact | 3054459554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nora Dieguez Phd Pa 100 Miracle Mile Suite 330 Coral Gables FL 33134-5430 Ph: (305) 445-9554 | Nora Dieguez Phd Pa 100 Miracle Mile Suite 330 Coral Gables FL 33134-5430 Ph: (305) 445-9554 |
| NPI Number | 1306167929 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 08/25/2010 |
| Medicare PECOS PAC ID | 8628192473 |
|---|---|
| Medicare Enrollment ID | O20100831000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306167929 | NPI | - | NPPES |
| 73846 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 4487 (Florida) | Primary |
| Provider Name | Nora Dieguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104908508 PECOS PAC ID: 9335263185 Enrollment ID: I20100915000416 |
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