Provider Demographics
NPI:1043105901
Name:DIAZ RODRIGUEZ, YOSMAY
Entity type:Individual
Prefix:
First Name:YOSMAY
Middle Name:
Last Name:DIAZ RODRIGUEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8225 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8962
Mailing Address - Country:US
Mailing Address - Phone:702-871-0002
Mailing Address - Fax:
Practice Address - Street 1:8440 WESTCLIFF DR APT 2065
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-3914
Practice Address - Country:US
Practice Address - Phone:786-493-6007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant