Healthcare Provider Details

I. General information

NPI: 1265110035
Provider Name (Legal Business Name): FRANCIS DIAZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 W 46TH ST APT 402
HIALEAH FL
33012-2846
US

IV. Provider business mailing address

1820 W 46TH ST APT 402
HIALEAH FL
33012-2846
US

V. Phone/Fax

Practice location:
  • Phone: 786-343-4419
  • Fax:
Mailing address:
  • Phone: 786-343-4419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number23287006
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: