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NPI Code Detail

MEDICARE: RENE JAIRO DIAZ

MEDICARE:   RENE JAIRO 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1447100474
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENE JAIRO DIAZ
Provider Business Mailing Address
First Line : 1093 ABERDOVEY PT
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-1910
Country : US
Telephone Number : 407-733-1584
Fax Number :
Provider Business Practice Location Address
First Line : 1093 ABERDOVEY PT
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-1910
Country : US
Telephone Number : 407-733-1584
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ RENE JAIRO DIAZ ” Practice Location

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