Provider Demographics
NPI:1750876611
Name:BRAUET DIAZ, MARIA BEATRIZ (ARNP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:BEATRIZ
Last Name:BRAUET DIAZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 SW 82ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2413
Mailing Address - Country:US
Mailing Address - Phone:786-395-5243
Mailing Address - Fax:
Practice Address - Street 1:900 W 49TH ST STE 206
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3441
Practice Address - Country:US
Practice Address - Phone:305-266-2929
Practice Address - Fax:305-615-3088
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-24
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9409153363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily