Diaz, Carmen B

Diaz, Carmen B is an sole proprietor health care provider with primary practice located at 2100 Ponce De Leon Blvd Ste 1015 , Coral Gables FL 33134-5240. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Diaz, Carmen B can be contacted via phone (786) 514-8812.

Contact Information

Primary practice address
2100 Ponce De Leon Blvd Ste 1015 Coral Gables FL 33134-5240
Phone: (786) 514-8812
Fax: (305) 274-0692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY4145 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X

Profile Details

NPI number 1134172505
LBN Legal business name Diaz, Carmen B
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Sep 5th, 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 1134172505 NPPES
Florida Other PY4145 MEDICAL LICENSE #

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