Jorge Diaz Md Pa | |
8600 Sw 92nd St Ste 107 Miami FL 33156-7377 | |
(786) 803-6018 | |
Not Available |
Full Name | Jorge Diaz Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 8600 Sw 92nd St Ste 107, Miami, Florida |
Authorized Official Name and Position | Jorge Diaz Valdes (OWNER) |
Authorized Official Contact | 7868036018 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jorge Diaz Md Pa 8600 Sw 92nd St Ste 107 Miami FL 33156-7377 Ph: (786) 803-6018 | Jorge Diaz Md Pa 8600 Sw 92nd St Ste 107 Miami FL 33156-7377 Ph: (786) 803-6018 |
NPI Number | 1215624341 |
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Provider Enumeration Date | 04/19/2023 |
Last Update Date | 04/19/2023 |
Medicare PECOS PAC ID | 3577925874 |
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Medicare Enrollment ID | O20230818000698 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215624341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jorge Diaz Valdes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891116471 PECOS PAC ID: 5799052759 Enrollment ID: I20190208000186 |
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