MEDICARE: YINI 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	104100000X	Social Worker	ISWO3263	RI
2	1041C0700X	Clinical Social Worker	ISW03263	RI

General Provider Information

NPI Number	:	1912367137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YINI DIAZ

Provider Business Mailing Address
First Line	:	81 OREGON AVE
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02911-2333
Country	:	US
Telephone Number	:	401-626-6020
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 OREGON AVE
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02911-2333
Country	:	US
Telephone Number	:	401-626-6020
Fax Number	:	401-626-6020

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

Provider Enumeration Date	:	03/01/2016
Last Update Date	:	04/08/2026

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Directions to “ YINI DIAZ ” Practice Location

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