Healthcare Provider Details

I. General information

NPI: 1306724299
Provider Name (Legal Business Name): ERIKA MARIA DIAZ GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 NW 9TH PL
CAPE CORAL FL
33993-4085
US

IV. Provider business mailing address

2401 NW 9TH PL
CAPE CORAL FL
33993-4085
US

V. Phone/Fax

Practice location:
  • Phone: 239-205-0105
  • Fax:
Mailing address:
  • Phone: 239-205-0105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: