MEDICARE: MS. ALIANA DIAZ-GARCIA CBHCM

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1770100729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALIANA DIAZ-GARCIA CBHCM

Provider Business Mailing Address
First Line	:	7981 NW 13TH ST
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-5157
Country	:	US
Telephone Number	:	786-799-2805
Fax Number	:

Provider Business Practice Location Address
First Line	:	7981 NW 13TH ST
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-5157
Country	:	US
Telephone Number	:	786-799-2805
Fax Number	:

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

Provider Enumeration Date	:	06/25/2020
Last Update Date	:	06/25/2020

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