Diaz, Alexis N

Diaz, Alexis N is an individual health care provider with primary practice located at 1550 Madruga Ave Ste 509 , Coral Gables FL 33146-3048. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Diaz, Alexis N can be contacted via phone (786) 536-9714.

Contact Information

Primary practice address
1550 Madruga Ave Ste 509 Coral Gables FL 33146-3048
Phone: (786) 536-9714
Fax: (786) 536-9833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1811103351
LBN Legal business name Diaz, Alexis N
Credentials M.S., I.T.D.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Nov 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811103351 NPPES
Florida MEDICAID 811568100
Florida MEDICAID 022190700

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