MEDICARE: KELLY 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	106S00000X	Behavior Technician	18-70834

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992217731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY DIAZ

Provider Business Mailing Address
First Line	:	841 E 34TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-3109
Country	:	US
Telephone Number	:	305-586-8221
Fax Number	:	305-742-2190

Provider Business Practice Location Address
First Line	:	841 E 34TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-3109
Country	:	US
Telephone Number	:	305-586-8221
Fax Number	:	305-742-2190

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

Provider Enumeration Date	:	11/02/2017
Last Update Date	:	01/08/2026

Similar Medicare Providers

1659816353 — HAYDEE DIAZ
Practice Location Address:

841 E 34TH ST
HIALEAH, FL
33013-3109

Practice Phone: 786-343-5055
Practice Fax:

1649782004 — JOSE MANUEL DIAZ JR
Practice Location Address:

841 E 34TH ST
HIALEAH, FL
33013-3109

Practice Phone: 786-515-4769
Practice Fax: 305-742-2190

1922866482 — YAISY HERNANDEZ
Practice Location Address:

7010 NW 186TH ST APT 204
HIALEAH, FL
33015-3109

Practice Phone: 786-826-3832
Practice Fax:

1528921947 — ERNESTO GARCIA ROMAN
Practice Location Address:

7010 NW 186TH ST APT 202
HIALEAH, FL
33015-3109

Practice Phone: 786-262-6288
Practice Fax:

1669330387 — SANDRA ARGILES
Practice Location Address:

550 E 48TH ST
HIALEAH, FL
33013-1956

Practice Phone: 305-922-1162
Practice Fax:

1881471019 — MR. MIGUEL ALEJANDRO LORENZO SR.
Practice Location Address:

426 E 62ND ST
HIALEAH, FL
33013-1143

Practice Phone: 786-890-7742
Practice Fax:

Directions to “ KELLY DIAZ ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.