| Rolando E Diaz Mdpa | |
|
4410 W 16th Ave Suite 56 Hialeah FL 33012-7100 | |
| (305) 512-0080 | |
| (305) 512-0082 |
| Full Name | Rolando E Diaz Mdpa |
|---|---|
| Speciality | General Practice |
| Location | 4410 W 16th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Rolando E Diaz (PRESIDENT) |
| Authorized Official Contact | 3055120080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rolando E Diaz Mdpa Po Box 940700 Miami FL 33194-0700 Ph: (305) 512-0080 | Rolando E Diaz Mdpa 4410 W 16th Ave Suite 56 Hialeah FL 33012-7100 Ph: (305) 512-0080 |
| NPI Number | 1740420819 |
|---|---|
| Provider Enumeration Date | 03/02/2009 |
| Last Update Date | 07/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740420819 | NPI | - | NPPES |
| ME95472 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME95472 (Florida) | Primary |
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