| Diez Medical Llc | |
|
1414 Nw 107th Ave Ste 205 Sweetwater FL 33172-2741 | |
| (786) 253-9513 | |
| (786) 933-6651 |
| Full Name | Diez Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1414 Nw 107th Ave Ste 205, Sweetwater, Florida |
| Authorized Official Name and Position | Boris D Diez (MANAGER) |
| Authorized Official Contact | 7862539513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diez Medical Llc 16881 Sw 278th St Homestead FL 33031-2745 Ph: (786) 253-9513 | Diez Medical Llc 1414 Nw 107th Ave Ste 205 Sweetwater FL 33172-2741 Ph: (786) 253-9513 |
| NPI Number | 1407444730 |
|---|---|
| Provider Enumeration Date | 01/04/2021 |
| Last Update Date | 08/09/2021 |
| Medicare PECOS PAC ID | 0941609218 |
|---|---|
| Medicare Enrollment ID | O20210519001532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407444730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Boris D Diez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861969883 PECOS PAC ID: 2860726759 Enrollment ID: I20190626003155 |
Metrape Therapy Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Nw 107th Ave Ste 306, Sweetwater, FL 33172 Phone: 787-697-1299 | |
The Dolphin Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 Nw 107th Ave Ste A, Sweetwater, FL 33172 Phone: 305-887-2252 Fax: 786-693-8488 | |
Rag Arnp Service Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1470 Nw 107th Ave Ste G, Sweetwater, FL 33172 Phone: 305-594-8666 | |
Derma Beauty Spa Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1470 Nw 107th Ave Ste M, Sweetwater, FL 33172 Phone: 305-594-5999 | |
Sunrise Medical Center Of Florida Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 Nw 107th Ave Ste A, Sweetwater, FL 33172 Phone: 305-887-2252 Fax: 786-693-8488 | |
Best Care Therapy Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172 Phone: 786-254-7937 Fax: 786-254-7953 |