Provider Demographics
NPI:1568542421
Name:DIAS, CLAUDIO F (MPT)
Entity Type:Individual
Prefix:MR
First Name:CLAUDIO
Middle Name:F
Last Name:DIAS
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19840 SW 87TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-8932
Mailing Address - Country:US
Mailing Address - Phone:305-256-9096
Mailing Address - Fax:305-253-2788
Practice Address - Street 1:19840 SW 87TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-8932
Practice Address - Country:US
Practice Address - Phone:305-256-9096
Practice Address - Fax:305-253-2788
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 19604225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE8540Medicare ID - Type UnspecifiedPHYSICAL THERAPIST