Healthcare Provider Details

I. General information

NPI: 1437081759
Provider Name (Legal Business Name): CRISTIANA DIAZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12662 SW 28TH ST
MIRAMAR FL
33027-3836
US

IV. Provider business mailing address

12662 SW 28TH ST
MIRAMAR FL
33027-3836
US

V. Phone/Fax

Practice location:
  • Phone: 954-801-5314
  • Fax: 954-801-5314
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11047917
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: