Healthcare Provider Details

I. General information

NPI: 1942919659
Provider Name (Legal Business Name): MARIA FERNANDA FLEMING DIAZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 MERCY RD STE 202
OMAHA NE
68124-2353
US

IV. Provider business mailing address

7710 MERCY RD STE 202
OMAHA NE
68124-2353
US

V. Phone/Fax

Practice location:
  • Phone: 402-280-4792
  • Fax:
Mailing address:
  • Phone: 402-280-4792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number10518
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number341582
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: