Provider Demographics
NPI:1881315349
Name:DIAZ HEALTH CENTER INC
Entity type:Organization
Organization Name:DIAZ HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIUBER
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO DE LA O
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-692-6024
Mailing Address - Street 1:10200 NW 25TH ST STE 211
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5927
Mailing Address - Country:US
Mailing Address - Phone:786-409-5436
Mailing Address - Fax:786-828-0906
Practice Address - Street 1:10200 NW 25TH ST STE 211
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-5927
Practice Address - Country:US
Practice Address - Phone:786-409-5436
Practice Address - Fax:786-828-0906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-02
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty