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NPI Code Detail

MEDICARE: YASMANI DIAZ

MEDICARE:   YASMANI  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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1366946105
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASMANI DIAZ
Provider Business Mailing Address
First Line : 562 SW 57TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33144-3961
Country : US
Telephone Number : 786-371-4127
Fax Number :
Provider Business Practice Location Address
First Line : 562 SW 57TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33144-3961
Country : US
Telephone Number : 786-371-4127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2018
Last Update Date : 03/19/2018

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Directions to “ YASMANI DIAZ ” Practice Location

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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.