Healthcare Provider Details

I. General information

NPI: 1801729157
Provider Name (Legal Business Name): DIAMOND THERAPY SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 SW 27TH AVE STE 302
MIAMI FL
33135-4749
US

IV. Provider business mailing address

1250 SW 27TH AVE STE 302
MIAMI FL
33135-4749
US

V. Phone/Fax

Practice location:
  • Phone: 786-447-9099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MARCOS ANTONIO DIAZ SR.
Title or Position: OWNOWE
Credential:
Phone: 786-447-9099