Active NPI
Marilis Diaz
- Pharmacy Technician
- Miami, FL
National Provider Identifier
1790832103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 140103545342669
- Practice address
- 161 NW 29TH St
Miami, FL 33127-3929 - Phone
- (305) 571-5121
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 140103545342669 | FL | Primary |
Addresses
Primary practice location
161 NW 29TH St
Miami, FL 33127-3929
Mailing address
1271 SW 124TH CT Apt C
Miami, FL 33184-2352
Phone (305) 551-8806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140103545342669 | FL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790832103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1271 SW 124TH CT APT C",
"city": "MIAMI",
"state": "FL",
"postal_code": "331842352",
"telephone_number": "305-551-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 NW 29TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331273929",
"telephone_number": "305-571-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "MARILIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "140103545342669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.