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General NPI Number Information
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NPI Number | 1407169709
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Entity Type | Individual
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Provider Name | ROSA ELOISA JUNCO-DIAZ MD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 3084 NE 41ST TER
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City | HOMESTEAD
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State | FL
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Zip | 33033-6619
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Country | US
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Telephone | 305-245-8050
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Fax | 305-245-5950
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Provider Business Mailing Address
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Address Line | 900 S PINE ISLAND RD STE 800
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City | PLANTATION
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State | FL
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Zip | 33324-3923
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Country | US
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Telephone | 954-967-6400
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Fax | 954-965-7339
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME107826
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License Number State | FL
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