Diego, Joaquin Nicolas

Diego, Joaquin Nicolas is an sole proprietor health care provider with primary practice located at 7190 Sw 87Th Ave Suite# 202, Miami FL 33173-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Diego, Joaquin Nicolas can be contacted via phone (305) 270-3075.

Contact Information

Primary practice address
7190 Sw 87Th Ave Suite# 202 Miami FL 33173-2507
Phone: (305) 270-3075
Fax: (305) 412-6338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME56696 Florida

Profile Details

NPI number 1154311264
LBN Legal business name Diego, Joaquin Nicolas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2005
Last updated May 13th, 2013 - about 13 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 1154311264 NPPES
Florida Other 004311 NHP
Florida MEDICAID 054326800 NHP

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