Jesus Antonio Diaz, DDS

Periodontics · Hialeah, FL

Individual Active NPI

NPI number 1740496892

Practice location

7000 W 12TH Ave
Suite 6
Hialeah, FL 33014-5154
Phone
(305) 557-5888
Fax
(305) 818-6677

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NPI record

NPI
1740496892
Entity type
Individual (Type 1)
Enumeration date
May 15, 2007
Last updated
May 25, 2021
Certified
May 25, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X DN11799 FL

Mailing address

1402 SE 17TH Ave
Homestead, FL 33035-2211

About Dr. Diaz

Jesus Antonio Diaz, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 7000 W 12TH Ave, Suite 6, Hialeah, FL 33014-5154. The NPI number 1740496892 was assigned on May 15, 2007 and the record was last updated on May 25, 2021.

Dr. Diaz lists a license in the registry: #DN11799 (FL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jesus Antonio Diaz, DDS?

The NPI number is 1740496892.

What is the phone number of Dr. Diaz?

The phone number listed for the practice location is (305) 557-5888.

Where is Dr. Diaz located?

7000 W 12TH Ave, Suite 6, Hialeah, FL 33014-5154.

What is the taxonomy code for Dr. Diaz?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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