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NPI Code Detail

MEDICARE: ALEJANDRO RENE DIAZ

MEDICARE:   ALEJANDRO RENE 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
1103K00000XBehavior Analyst

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 : 1881924678
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRO RENE DIAZ
Provider Business Mailing Address
First Line : 1100 SW 101ST AVE
Second Line :
City : MIAMI
State : FL
Zip : 33174-2868
Country : US
Telephone Number : 305-216-8630
Fax Number :
Provider Business Practice Location Address
First Line : VARIOUS LOCATIONS
Second Line : IN-HOME SERVICES
City : MIAMI
State : FL
Zip : 33174-2868
Country : US
Telephone Number : 305-310-7907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2009
Last Update Date : 12/30/2009

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Directions to “ ALEJANDRO RENE 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.