Provider Demographics
NPI:1700666823
Name:ESPINOSA MELENDEZ, DIANA CARIDAD
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:CARIDAD
Last Name:ESPINOSA MELENDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 W 35TH AVE UNIT 277
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7136
Mailing Address - Country:US
Mailing Address - Phone:786-781-0341
Mailing Address - Fax:
Practice Address - Street 1:7001 W 35TH AVE UNIT 277
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-7136
Practice Address - Country:US
Practice Address - Phone:786-781-0341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide