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General NPI Number Information
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NPI Number | 1679821102
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Entity Type | Individual
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Provider Name | MIGUEL ANGEL DIAZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 90130 OLD HWY
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City | TAVERNIER
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State | FL
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Zip | 33070-2368
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Country | US
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Telephone | 305-852-9300
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Fax | 877-485-1242
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Provider Business Mailing Address
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Address Line | 101425 OVERSEAS HWY # 190
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City | KEY LARGO
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State | FL
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Zip | 33037-4505
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Country | US
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Telephone | 305-852-9300
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Fax | 305-853-1260
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L.3647R
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License Number State | AL
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