Diaz, Carmen B
Diaz, Carmen B is an sole proprietor health care provider with primary practice located at 2100 Ponce De Leon Blvd Ste 1015 , Coral Gables FL 33134-5240. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Diaz, Carmen B can be contacted via phone (786) 514-8812.Contact Information
Primary practice address
2100 Ponce De Leon Blvd Ste 1015
Coral Gables FL 33134-5240
Phone: (786) 514-8812
Fax: (305) 274-0692
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY4145 | Florida |
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X |
Profile Details
NPI number | 1134172505 |
---|---|
LBN Legal business name | Diaz, Carmen B |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 18th, 2006 |
Last updated | Sep 5th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134172505 | NPPES |
Florida | Other | PY4145 | MEDICAL LICENSE # |
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