Provider Demographics
NPI:1114169018
Name:DIAZ, ALEJANDRO MANUEL (MD)
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:MANUEL
Last Name:DIAZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9380 SW 150TH ST STE 270
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7957
Mailing Address - Country:US
Mailing Address - Phone:305-256-4334
Mailing Address - Fax:305-256-4336
Practice Address - Street 1:9380 SW 150TH ST STE 270
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176
Practice Address - Country:US
Practice Address - Phone:305-256-4334
Practice Address - Fax:305-256-4336
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME123286207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery