Healthcare Provider Details

I. General information

NPI: 1669301305
Provider Name (Legal Business Name): DIEGO ALLER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16600 SUNSET WAY
WESTON FL
33326-1078
US

IV. Provider business mailing address

16600 SUNSET WAY
WESTON FL
33326-1078
US

V. Phone/Fax

Practice location:
  • Phone: 786-682-4872
  • Fax:
Mailing address:
  • Phone: 786-682-4872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberG341130
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: