Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME115603 | FL |
N | 111NI0900X | Internist | ME115603 | FL |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 19510 | NH |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | LT-4051 | NH |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | ME115603 | FL |
NPI | 1083880009 |
---|---|
Provider Name | Sylvia Diaz |
First Address | Aventura, FL 33180 |
Second Address | Sunny Isles Beach, FL 33160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2008 |
Last Update Date | 02/07/2019 |