Healthcare Provider Details

I. General information

NPI: 1841550241
Provider Name (Legal Business Name): MARIA ALEJANDRA DIAZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA ALEJANDRA ACOSTA M.D.

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 DOUGLAS AVE
ALTAMONTE SPRINGS FL
32714-2008
US

IV. Provider business mailing address

PO BOX 9100
BELFAST ME
04915-9100
US

V. Phone/Fax

Practice location:
  • Phone: 407-834-8111
  • Fax:
Mailing address:
  • Phone: 613-002-4105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME126435
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: