Boris Betancourt Diaz MD

NPI 1225371677 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1225371677
Gender Male
Enumeration Date 04/04/2013
Last Updated 04/04/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1611 NW 12TH AVE
MIAMI FL, 33136-1005, US
Phone (305) 585-1280
Fax
Business Location
18340 MEDITERRANEAN BLVD
APT: 2804
HIALEAH FL, 33015-5779, US
Phone (786) 325-0623
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Boris Betancourt Diaz MD NPI is 1225371677, taxonomy code is 390200000X Boris Betancourt Diaz MD physically located at 1611 Nw 12th Ave, Miami FL, 33136-1005. NPI Number Boris Betancourt Diaz MD has the Individual type.

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1225371677 NPI number is provided on an as is basis without warranty of any kind. 1225371677 is maintained by the National Plan & Provider Enumeration System. The contents of Boris Betancourt Diaz MD are for informational purposes only.