MEDICARE: ALAIN DIAZ MD

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	208D00000X	General Practice Physician	ME175920	FL

General Provider Information

NPI Number	:	1508296617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAIN DIAZ MD

Provider Business Mailing Address
First Line	:	2650 COUNTRYSIDE BLVD APT B305
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-3684
Country	:	US
Telephone Number	:	786-252-1778
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 W 68TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-1898
Country	:	US
Telephone Number	:	305-823-5000
Fax Number	:

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

Provider Enumeration Date	:	11/26/2013
Last Update Date	:	09/24/2025

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