Most Relevant Information
Provider Data
| NPI Number: | 1003413790 |
| Provider Name: | RICARDO DIAZ PEREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11009507 |
Most Important Dates
| Enumeration Date: | 10/06/2020 |
| Last Updated: | 11/15/2022 |
Provider Practice Location
1475 NW 12TH AVE
MIAMI
FL
331361002
Practice Location Phone/Fax
| Phone: | 3052434200 |
| Fax: | 3052434363 |
Provider Mailing Location
1475 NW 12TH AVE STE 1500
MIAMI
FL
331361002
Provider Mailing Phone/Fax
| Phone: | 3052434200 |
| Fax: | 3052434363 |