Provider Demographics
NPI:1083939698
Name:DIAZ, NAYIRA (BS)
Entity Type:Individual
Prefix:
First Name:NAYIRA
Middle Name:
Last Name:DIAZ
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16622 SW 71ST TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-5533
Mailing Address - Country:US
Mailing Address - Phone:305-397-5312
Mailing Address - Fax:305-425-0269
Practice Address - Street 1:7921 BIRD RD STE 41
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6747
Practice Address - Country:US
Practice Address - Phone:305-425-1393
Practice Address - Fax:305-425-0269
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker