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NPI Code Detail

MEDICARE: DR. DIANA MARIA BARALT MD

MEDICARE: DR. DIANA MARIA BARALT MD
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
12084P0800XPsychiatry PhysicianME0072403FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
138066OTHERFLBLUE CROSS BLUE SHIELD NO

General Provider Information

NPI Number : 1194715144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANA MARIA BARALT MD
Provider Business Mailing Address
First Line : 1118 CAPRI ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2406
Country : US
Telephone Number : 305-856-2002
Fax Number : 305-856-0550
Provider Business Practice Location Address
First Line : 2251 SW 27TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33145-3433
Country : US
Telephone Number : 305-856-2002
Fax Number : 305-856-0550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 10/03/2007

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Directions to “ DR. DIANA MARIA BARALT MD” Practice Location

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