MEDICARE: MARGARITA 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1861906000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARITA DIAZ

Provider Business Mailing Address
First Line	:	2965 WASHINGTON ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-3855
Country	:	US
Telephone Number	:	305-323-0380
Fax Number	:	305-742-2190

Provider Business Practice Location Address
First Line	:	2965 WASHINGTON ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-3855
Country	:	US
Telephone Number	:	305-323-0380
Fax Number	:	305-742-2190

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

Provider Enumeration Date	:	11/27/2017
Last Update Date	:	11/27/2017

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Directions to “ MARGARITA DIAZ ” Practice Location

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