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NPI Code Detail

MEDICARE: ZAILY DIAZ HERNANDEZ

MEDICARE: ZAILY DIAZ HERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerTEMP856761NV

General Provider Information

NPI Number : 1083583264
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZAILY DIAZ HERNANDEZ
Provider Business Mailing Address
First Line : 3186 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3186 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2317
Country : US
Telephone Number : 702-961-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2025
Last Update Date : 12/08/2025

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Directions to “ ZAILY DIAZ HERNANDEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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