Provider Demographics
NPI:1770100729
Name:DIAZ-GARCIA, ALIANA (CBHCM)
Entity type:Individual
Prefix:MS
First Name:ALIANA
Middle Name:
Last Name:DIAZ-GARCIA
Suffix:
Gender:F
Credentials:CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7981 NW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-5157
Mailing Address - Country:US
Mailing Address - Phone:786-799-2805
Mailing Address - Fax:
Practice Address - Street 1:7981 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-5157
Practice Address - Country:US
Practice Address - Phone:786-799-2805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator