Diaz, Midiala E

Diaz, Midiala E is an sole proprietor health care provider with primary practice located at 12376 Quail Roost Dr , Miami FL 33177. She recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Diaz, Midiala E can be contacted via phone (786) 623-0994.

Contact Information

Primary practice address
12376 Quail Roost Dr Miami FL 33177
Fax: (786) 430-8197
Website:

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 31573R Puerto Rico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME130934 Florida

Profile Details

NPI number 1902204514
LBN Legal business name Diaz, Midiala E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2014
Last updated Mar 9th, 2021 - about 5 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 1902204514 NPPES
Florida MEDICAID 0021581600

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