MEDICARE: ISMAEL MANUEL DIAZ PEREZ

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
1	106S00000X	Behavior Technician	RBT-24-386610	FL

General Provider Information

NPI Number	:	1154132009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISMAEL MANUEL DIAZ PEREZ

Provider Business Mailing Address
First Line	:	5970 W 12TH LN
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-6304
Country	:	US
Telephone Number	:	786-367-2347
Fax Number	:

Provider Business Practice Location Address
First Line	:	5970 W 12TH LN
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-6304
Country	:	US
Telephone Number	:	786-367-2347
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2025
Last Update Date	:	01/18/2025

Similar Medicare Providers

1689341364 — YAREMI LEZCANO
Practice Location Address:

5970 W 12TH LN
HIALEAH, FL
33012-6304

Practice Phone: 786-439-7008
Practice Fax:

1952252298 — EXCELLENT RESULTS MEDICAL PROVIDERS LLC
Practice Location Address:

16514 NW 89TH CT
HIALEAH, FL
33018-6304

Practice Phone: 786-515-4485
Practice Fax:

1366091787 — ALEJANDRO PEREZ OLIVA APRN
Practice Location Address:

6307 W 16TH AVE
HIALEAH, FL
33012-6219

Practice Phone: 305-833-4026
Practice Fax:

1245738251 — CARL MOLINA
Practice Location Address:

16110 NW 37TH AVE
MIAMI GARDENS, FL
33054-6304

Practice Phone: 786-508-6750
Practice Fax:

1568292894 — MEIBIS JUAN ZAMORA
Practice Location Address:

7095 NW 179TH ST APAT 101 , EDIF 7
HIALEAH, FL
33015-5419

Practice Phone: 305-310-6304
Practice Fax:

1548111271 — CLAUDIA BAGAN OPT
Practice Location Address:

1460 W 43RD PL APT 104
HIALEAH, FL
33012-7608

Practice Phone: 786-346-8236
Practice Fax:

Directions to “ ISMAEL MANUEL DIAZ PEREZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.