MEDICARE: MELINA DIAZ PC

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	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1508663246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELINA DIAZ PC

Provider Business Mailing Address
First Line	:	306 WHITE SPRINGS LN
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-6504
Country	:	US
Telephone Number	:	888-651-7732
Fax Number	:

Provider Business Practice Location Address
First Line	:	306 WHITE SPRINGS LN
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-6504
Country	:	US
Telephone Number	:	888-651-7732
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	MELINA DIAZ-CARDENAS
Credential	:	MD
Telephone Number	:	770-560-4113

Provider Enumeration Date	:	02/28/2025
Last Update Date	:	02/28/2025

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