Diaz, Pedro Joaquin

Diaz, Pedro Joaquin is an sole proprietor health care provider with primary practice located at 16800 Nw 2Nd Ave Ste 400 , North Miami Beach FL 33169-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Diaz, Pedro Joaquin can be contacted via phone (305) 654-3718.

Contact Information

Primary practice address
16800 Nw 2Nd Ave Ste 400 North Miami Beach FL 33169-5501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME82011 Florida

Profile Details

NPI number 1326000555
LBN Legal business name Diaz, Pedro Joaquin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated Apr 16th, 2022 - about 3 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 1326000555 NPPES
Florida MEDICAID 260986000

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