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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235370289 NPPES
Florida MEDICAID ID: 138 851 733

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