MEDICARE: RACHEL DIAZ NP

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	363LF0000X	Family Nurse Practitioner	APRN11018659	FL

General Provider Information

NPI Number	:	1386382844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL DIAZ NP

Provider Business Mailing Address
First Line	:	8205 NW 106TH AVE
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-1106
Country	:	US
Telephone Number	:	504-701-8839
Fax Number	:

Provider Business Practice Location Address
First Line	:	4475 MEDICAL CENTER WAY STE 3
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3240
Country	:	US
Telephone Number	:	561-781-8070
Fax Number	:	561-781-8077

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

Provider Enumeration Date	:	05/24/2022
Last Update Date	:	10/25/2023

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