Provider Demographics
NPI:1275833865
Name:PEDRO ORLANDO DIAZ MD PA
Entity Type:Organization
Organization Name:PEDRO ORLANDO DIAZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:O
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-558-0720
Mailing Address - Street 1:PO BOX 561508
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256-1508
Mailing Address - Country:US
Mailing Address - Phone:305-558-0720
Mailing Address - Fax:305-558-8847
Practice Address - Street 1:2387 W 68TH ST
Practice Address - Street 2:SUITE 503
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-6889
Practice Address - Country:US
Practice Address - Phone:305-558-0720
Practice Address - Fax:305-558-8847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty