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General NPI Number Information
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NPI Number | 1780707760
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Entity Type | Organization
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Legal Business Name | DIAZ & SIDRON MEDICAL DOCTORS LLC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 5040 NW 7TH ST SUITE 490
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City | MIAMI
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State | FL
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Zip | 33126-3422
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Country | US
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Telephone | 305-444-9245
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Fax | 305-444-9246
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Provider Business Mailing Address
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Address Line | 5040 NW 7TH ST SUITE 490
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City | MIAMI
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State | FL
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Zip | 33126-3422
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Country | US
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Telephone | 305-444-9245
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Fax | 305-444-9246
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDUARDO DIAZ
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Credential | MD
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Telephone | 786-385-2814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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