| Daniel E. Diez Md Pa | |
|
11880 Sw 40th St Ste 216 Miami FL 33175-3574 | |
| (305) 552-5792 | |
| Not Available |
| Full Name | Daniel E. Diez Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 11880 Sw 40th St Ste 216, Miami, Florida |
| Authorized Official Name and Position | Daniel Esteban Diez (PRESIDENT) |
| Authorized Official Contact | 3053336012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel E. Diez Md Pa 11880 Sw 40th St Ste 216 Miami FL 33175-3574 Ph: (305) 552-5792 | Daniel E. Diez Md Pa 11880 Sw 40th St Ste 216 Miami FL 33175-3574 Ph: (305) 552-5792 |
| NPI Number | 1184329112 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 03/31/2023 |
| Medicare PECOS PAC ID | 4789040734 |
|---|---|
| Medicare Enrollment ID | O20230516003629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184329112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Daniel E Diez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790314177 PECOS PAC ID: 5698131647 Enrollment ID: I20230517000111 |
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