Healthcare Provider Details

I. General information

NPI: 1760321665
Provider Name (Legal Business Name): LAIDELYN DE LA CARIDAD ROBAINA DIAZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3355 W 68TH ST APT 122
HIALEAH FL
33018-1740
US

IV. Provider business mailing address

3355 W 68TH ST APT 122
HIALEAH FL
33018-1740
US

V. Phone/Fax

Practice location:
  • Phone: 786-681-2210
  • Fax:
Mailing address:
  • Phone: 786-681-2210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: