Healthcare Provider Details

I. General information

NPI: 1801759170
Provider Name (Legal Business Name): CARINA DIAZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15955 SW 96TH ST STE 200
MIAMI FL
33196-1272
US

IV. Provider business mailing address

13934 SW 90TH AVE APT CC202
MIAMI FL
33176-8973
US

V. Phone/Fax

Practice location:
  • Phone: 786-595-8387
  • Fax:
Mailing address:
  • Phone: 786-340-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPS65968
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: