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NPI Code Detail

MEDICARE: DR. ADELFA DIAZ M.D.

MEDICARE: DR. ADELFA DIAZ M.D.
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
12080A0000XPediatric Adolescent Medicine PhysicianME60807FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184667073
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADELFA DIAZ M.D.
Provider Business Mailing Address
First Line : 6100 BLUE LAGOON DR STE 365
Second Line :
City : MIAMI
State : FL
Zip : 33126-7010
Country : US
Telephone Number : 786-322-7333
Fax Number : 786-347-5022
Provider Business Practice Location Address
First Line : 1490 NW 27TH AVE STE 130
Second Line :
City : MIAMI
State : FL
Zip : 33125-2173
Country : US
Telephone Number : 305-635-7710
Fax Number : 786-621-7817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 01/21/2021

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Directions to “ DR. ADELFA DIAZ M.D.” Practice Location

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