Vivian D.j. Gonzalez Diaz


Address: 3271 Nw 7th St, Suite 203, Miami, FL 33125-4141

Vivian D.j. Gonzalez Diaz (NPI# 1184639569, PAC ID# 4082626528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1184639569
PAC ID by PECOS 4082626528
Professional Enrollment ID I20110629000094
Full Name Vivian D.j. Gonzalez Diaz
Address 3271 Nw 7th St
Suite 203
Miami
FL 33125-4141
Gender F
Graduation Year 1991
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3271 Nw 7th St, Suite 203, Miami, FL 33125-4141

Organization Information

Office Location

Street Address 3271 NW 7TH ST
SUITE 203
City MIAMI
State FL
Zip 33125-4141

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Competitor

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City MIAMI
Zip Code 33125
Specialty PSYCHOLOGIST, CLINICAL
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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