Diaz, Gerardo
Diaz, Gerardo is an sole proprietor health care provider with primary practice located at 14201 S Dixie Hwy , Palmetto Bay FL 33176-7224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Diaz, Gerardo can be contacted via phone (786) 227-6396.Contact Information
Primary practice address
14201 S Dixie Hwy
Palmetto Bay FL 33176-7224
Phone: (786) 227-6396
Fax: (786) 227-6456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME103459 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME 103459 | Florida |
Profile Details
| NPI number | 1235370289 |
|---|---|
| LBN Legal business name | Diaz, Gerardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2009 |
| Last updated | Oct 30th, 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 | 1235370289 | NPPES |
| Florida | MEDICAID | ID: 138 851 733 |
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