Provider Demographics
NPI:1669853537
Name:DIAZ REYES, KAREL (MD)
Entity Type:Individual
Prefix:
First Name:KAREL
Middle Name:
Last Name:DIAZ REYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:KAREL
Other - Middle Name:
Other - Last Name:DIAZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7901 HISPANOLA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4152
Mailing Address - Country:US
Mailing Address - Phone:786-468-0113
Mailing Address - Fax:
Practice Address - Street 1:5200 NE 2ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-2706
Practice Address - Country:US
Practice Address - Phone:305-762-3883
Practice Address - Fax:304-762-1558
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME136891207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine