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NPI Code Detail

MEDICARE: ADYS GUTIERREZ DIAZ

MEDICARE: ADYS GUTIERREZ 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
1363LF0000XFamily Nurse PractitionerAPRN11023437FL

General Provider Information

NPI Number : 1700563152
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADYS GUTIERREZ DIAZ
Provider Business Mailing Address
First Line : 8333 NW 53RD ST FL 6
Second Line :
City : DORAL
State : FL
Zip : 33166-4783
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7239 US HIGHWAY 301 S
Second Line :
City : RIVERVIEW
State : FL
Zip : 33578-4346
Country : US
Telephone Number : 813-741-2100
Fax Number : 813-741-2003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2023
Last Update Date : 05/18/2026

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Directions to “ ADYS GUTIERREZ 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.

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