Healthcare Provider Details

I. General information

NPI: 1215518154
Provider Name (Legal Business Name): NANCY M ACUNA DIAZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14555 SW 176TH TER
MIAMI FL
33177-7692
US

IV. Provider business mailing address

14555 SW 176TH TER
MIAMI FL
33177-7692
US

V. Phone/Fax

Practice location:
  • Phone: 786-439-4211
  • Fax:
Mailing address:
  • Phone: 786-439-4211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11012522
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11012522
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: