Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME89280 | FL |
N | 111NI0900X | Internist | ME89280 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | ME89280 | FL |
Y | 207RI0011X | Interventional Cardiology | ME89280 | FL |
NPI | 1013118322 |
---|---|
Provider Name | Miguel A. Diaz |
First Address | Hialeah, FL 33016 |
Second Address | Hialeah, FL 33016-1815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 11/06/2015 |