Most Relevant Information
Provider Data
| NPI Number: | 1003471178 |
| Provider Name: | ANTHONY JOSE DIEGUEZ DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/04/2019 |
| Last Updated: | 04/01/2022 |
Provider Practice Location
16470 NE 10TH AVE
NORTH MIAMI BEACH
FL
331623710
Practice Location Phone/Fax
| Phone: | 3056519988 |
| Fax: |
Provider Mailing Location
16470 NE 10TH AVE
NORTH MIAMI BEACH
FL
331623710
Provider Mailing Phone/Fax
| Phone: | 3056519988 |
| Fax: |