Provider Demographics
NPI:1346852001
Name:DELGADO DIAZ, KARIL (APRN)
Entity Type:Individual
Prefix:
First Name:KARIL
Middle Name:
Last Name:DELGADO DIAZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7918 GRANADA PL APT 104
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-6322
Mailing Address - Country:US
Mailing Address - Phone:786-205-8773
Mailing Address - Fax:
Practice Address - Street 1:33 NE 4TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-2111
Practice Address - Country:US
Practice Address - Phone:786-205-8773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-23
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11007673363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily