| Boris D Diez, APRN | |
|
1414 Nw 107th Ave Ste 205, Sweetwater, FL 33172-2741 | |
| (786) 253-9513 | |
| (786) 933-6651 |
| Full Name | Boris D Diez |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1414 Nw 107th Ave Ste 205, Sweetwater, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861969883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | APRN11000018 (Florida) | Primary |
| 363LF0000X | Nurse Practitioner - Family | APRN11000018 (Florida) | Secondary |
| Entity Name | Diez Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1407444730 PECOS PAC ID: 0941609218 Enrollment ID: O20210519001532 |
| Mailing Address | Practice Location Address |
|---|---|
| Boris D Diez, APRN 16881 Sw 278th St, Homestead, FL 33031-2745 Ph: (786) 253-9513 | Boris D Diez, APRN 1414 Nw 107th Ave Ste 205, Sweetwater, FL 33172-2741 Ph: (786) 253-9513 |
Dr. Jose Alberto Chi, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Nw 107th Ave Ste 108, Sweetwater, FL 33172 Phone: 786-625-7100 | |
Diamina Molina Vidal, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172 Phone: 305-783-9480 |