Healthcare Provider Details

I. General information

NPI: 1588582720
Provider Name (Legal Business Name): CINDY DIAZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 19TH ST NW
WASHINGTON DC
20036-3605
US

IV. Provider business mailing address

1120 19TH ST NW
WASHINGTON DC
20036-3605
US

V. Phone/Fax

Practice location:
  • Phone: 202-844-2004
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberRN2000499
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: