Healthcare Provider Details

I. General information

NPI: 1417802836
Provider Name (Legal Business Name): DARIANA DIAZ FIGUEREO SR.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 WAVERLY ST, 354
FRAMINGHAM MA
01702
US

IV. Provider business mailing address

201 SHERMAN RD APT 636
CHESTNUT HILL MA
02467-3563
US

V. Phone/Fax

Practice location:
  • Phone: 508-852-1805
  • Fax:
Mailing address:
  • Phone: 508-852-1805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDL101437
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: