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NPI Code Detail

MEDICARE: ALENA DIAZ DE LA NUEZ

MEDICARE: ALENA DIAZ DE LA NUEZ
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner11017177FL
2363LF0000XFamily Nurse Practitioner11017177FL

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 : 1982002705
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALENA DIAZ DE LA NUEZ
Provider Business Mailing Address
First Line : 149 W 21ST ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-2615
Country : US
Telephone Number : 786-453-8720
Fax Number :
Provider Business Practice Location Address
First Line : 149 W 21ST ST STE 127-128
Second Line :
City : HIALEAH
State : FL
Zip : 33010-2615
Country : US
Telephone Number : 305-558-0765
Fax Number : 786-219-4355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2014
Last Update Date : 02/12/2026

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Directions to “ ALENA DIAZ DE LA NUEZ ” Practice Location

Language Start Address Practice Location
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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