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NPI Code Detail

MEDICARE: SANYA IRENE DIAZ FNP-BC

MEDICARE: SANYA IRENE DIAZ FNP-BC
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
1363LF0000XFamily Nurse PractitionerARNP9401267FL

Other Identifiers

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

General Provider Information

NPI Number : 1558882852
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANYA IRENE DIAZ FNP-BC
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 400
Second Line :
City : MIAMI
State : FL
Zip : 33126-2051
Country : US
Telephone Number : 305-500-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1717 HOMEWOOD BLVD
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-6876
Country : US
Telephone Number : 305-500-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2017
Last Update Date : 12/13/2021

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