Healthcare Provider Details

I. General information

NPI: 1134744295
Provider Name (Legal Business Name): LINAIDA MEMBRIBES DIAZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2020
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 NE 125TH ST
NORTH MIAMI FL
33161-4717
US

IV. Provider business mailing address

241 SW 52ND AVE
CORAL GABLES FL
33134-1218
US

V. Phone/Fax

Practice location:
  • Phone: 305-602-5372
  • Fax:
Mailing address:
  • Phone: 786-365-8697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11039437
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT20120259
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: