MEDICARE: MELINA PAOLA DIAZ-CARDENAS M.D.

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	001215	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548422843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINA PAOLA DIAZ-CARDENAS M.D.

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	:	888-651-7732

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	:	888-651-7732

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

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	02/25/2025

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