Healthcare Provider Details

I. General information

NPI: 1497691448
Provider Name (Legal Business Name): ARIAN PEREZ DIAZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2624 KENTUCKY ST
WEST PALM BEACH FL
33406-4238
US

IV. Provider business mailing address

2624 KENTUCKY ST
WEST PALM BEACH FL
33406-4238
US

V. Phone/Fax

Practice location:
  • Phone: 561-785-4866
  • Fax:
Mailing address:
  • Phone: 561-785-4866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number26-204
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: