MEDICARE: DRIAMNA DIAZ DE LA PAZ

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
1	106S00000X	Behavior Technician	RBT-23-312549	FL

General Provider Information

NPI Number	:	1427826643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DRIAMNA DIAZ DE LA PAZ

Provider Business Mailing Address
First Line	:	1031 W 27TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-1186
Country	:	US
Telephone Number	:	786-826-6462
Fax Number	:

Provider Business Practice Location Address
First Line	:	1031 W 27TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-1186
Country	:	US
Telephone Number	:	786-826-6462
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	12/18/2023

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Directions to “ DRIAMNA DIAZ DE LA PAZ ” Practice Location

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