Most Relevant Information
Provider Data
| NPI Number: | 1003376864 |
| Provider Name: | VIVIAN M DIAZ ALVAREZ SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SA18494 |
Most Important Dates
| Enumeration Date: | 03/20/2019 |
| Last Updated: | 08/18/2021 |
Provider Practice Location
5470 W 16TH AVE
HIALEAH
FL
330122105
Practice Location Phone/Fax
| Phone: | 3054562646 |
| Fax: | 3059678442 |
Provider Mailing Location
9280 FONTAINEBLEAU BLVD APT 203
MIAMI
FL
331724240
Provider Mailing Phone/Fax
| Phone: | 7866467751 |
| Fax: |