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NPI Code Detail

MEDICARE: LISSET ALVAREZ DIAZ

MEDICARE:   LISSET  ALVAREZ 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
1106S00000XBehavior Technician24-321912FL

General Provider Information

NPI Number : 1699502823
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISSET ALVAREZ DIAZ
Provider Business Mailing Address
First Line : 2411 NW 10TH AVE APT 303
Second Line :
City : MIAMI
State : FL
Zip : 33127-4285
Country : US
Telephone Number : 786-768-7036
Fax Number :
Provider Business Practice Location Address
First Line : 2411 NW 10TH AVE APT 303
Second Line :
City : MIAMI
State : FL
Zip : 33127-4285
Country : US
Telephone Number : 786-768-7036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2024
Last Update Date : 09/19/2024

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Directions to “ LISSET ALVAREZ DIAZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.