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NPI Code Detail

MEDICARE: CAROLINA BEATRIZ DIAZ

MEDICARE: CAROLINA BEATRIZ DIAZ
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
11041S0200XSchool Social Worker0904018900VA

General Provider Information

NPI Number : 1194409193
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA BEATRIZ DIAZ
Provider Business Mailing Address
First Line : 8270 WILLOW OAKS CORPORATE DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4530
Country : US
Telephone Number : 703-732-7746
Fax Number :
Provider Business Practice Location Address
First Line : 8270 WILLOW OAKS CORPORATE DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4530
Country : US
Telephone Number : 703-732-7746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2023
Last Update Date : 12/16/2025

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Directions to “ CAROLINA BEATRIZ DIAZ ” 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.

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