Diaz, Jacqueline

Diaz, Jacqueline is an sole proprietor health care provider with primary practice located at 500 Bayview Dr Apt 631 , Sunny Isles Beach FL 33160-4777. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Diaz, Jacqueline can be contacted via phone (786) 537-9041.

Contact Information

Primary practice address
500 Bayview Dr Apt 631 Sunny Isles Beach FL 33160-4777
Phone: (786) 537-9041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME104089 Florida

Profile Details

NPI number 1992991277
LBN Legal business name Diaz, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2007
Last updated Nov 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992991277 NPPES
Florida MEDICAID 104986000

Popular Providers