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NPI Code Detail

MEDICARE: DENISE DIAZ -MENDEZ

MEDICARE:   DENISE  DIAZ -MENDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1114550449
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE DIAZ -MENDEZ
Provider Business Mailing Address
First Line : 675 E 54TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33013-1663
Country : US
Telephone Number : 305-401-3096
Fax Number :
Provider Business Practice Location Address
First Line : 5901 NW 151ST ST STE 124
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-2454
Country : US
Telephone Number : 786-432-5099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2020
Last Update Date : 06/24/2025

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Directions to “ DENISE DIAZ -MENDEZ ” Practice Location

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