Healthcare Provider Details

I. General information

NPI: 1457364713
Provider Name (Legal Business Name): ZORAIDA DIEZEL OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

7960 SW 26TH ST
MIAMI FL
33155-2574
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-7224
  • Fax: 305-585-6007
Mailing address:
  • Phone: 305-585-7222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT1227
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number9105000299
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: