FOREVER DIAZ SALON & SPA LLC NPI 1063117810

NPI Information

  • NPI: 1063117810
  • Provider Name: FOREVER DIAZ SALON & SPA, LLC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 8237 PHILADELPHIA RD
    ROSEDALE, MD
    ZIP 21237
  • Phone: (410) 497-0782

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NPI Details

FOREVER DIAZ SALON & SPA, LLC is a prosthetic orthotic supplier in Rosedale, MD. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. FOREVER DIAZ SALON & SPA, LLC NPI is 1063117810. The provider is registered as an organization entity type.

The provider's business location address is:

8237 PHILADELPHIA RD
ROSEDALE, MD
ZIP 21237-865
Phone: (410) 497-0782

The provider's authorized official is Candace Joy Diaz .
The authorized official title is Ceo and has the following contact phone number (443) 854-3307.

The enumeration date for this NPI number is 4/3/2023 and was last updated on 4/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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