Diaz, Manuel Jesus

Diaz, Manuel Jesus is an sole proprietor health care provider with primary practice located at 7800 Sw 57Th Ave Ste 106 , South Miami FL 33143-5551. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Diaz, Manuel Jesus can be contacted via phone (305) 476-7771.

Contact Information

Primary practice address
7800 Sw 57Th Ave Ste 106 South Miami FL 33143-5551
Phone: (305) 476-7771
Fax: (305) 442-0121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME88049 Florida

Profile Details

NPI number 1689659062
LBN Legal business name Diaz, Manuel Jesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2005
Last updated May 2nd, 2019 - about 5 years ago

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 1689659062 NPPES
Florida MEDICAID 268539600

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