Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9182489 | FL |
NPI | 1003094855 |
---|---|
Provider Name | Dr. Lilia Diaz Pino |
First Address | Miami, FL 33156-2523 |
Second Address | Miami, FL 33186-4768 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2008 |
Last Update Date | 25/02/2014 |