Diaz, Miguel A

Diaz, Miguel A is an sole proprietor health care provider with primary practice located at 8323 Nw 12Th St Ste 108 , Doral FL 33126-1839. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Diaz, Miguel A can be contacted via phone (305) 400-8511.

Contact Information

Primary practice address
8323 Nw 12Th St Ste 108 Doral FL 33126-1839
Phone: (305) 400-8511
Fax: (305) 392-0184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9231258 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9231258 Florida

Profile Details

NPI number 1629511290
LBN Legal business name Diaz, Miguel A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2016
Last updated Jan 25th, 2024 - about 10 months 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 1629511290 NPPES
Florida MEDICAID 024848000

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