Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | ME60807 | FL |
NPI | 1184667073 |
---|---|
Provider Name | Dr. Adelfa Diaz |
First Address | Miami, FL 33126-7010 |
Second Address | Miami, FL 33125-2173 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 21/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
375864800 | (05) | FL |
E95919 | (02) | FL |