MARVIN DIAZ-LACAYO MD NPI 1871596098

NPI Information

NPI: 1871596098
Provider Name: MARVIN DIAZ-LACAYO, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
21150 BISCAYNE BLVD
STE 101
AVENTURA, FL
ZIP 33180
Phone: (305) 932-4198
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Marvin Diaz-lacayo, MD is a specialist in Aventura, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Marvin Diaz-lacayo, MD NPI is 1871596098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21150 BISCAYNE BLVD
STE 101
AVENTURA, FL
ZIP 33180-226
Phone: (305) 932-4198
Fax: (305) 932-9102

The enumeration date for this NPI number is 5/23/2005 and was last updated on 12/28/2007.

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
1	174400000X	Specialist		ME0022072	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K0393	MEDICARE UPIN	FLORIDA
2	92110W	MEDICARE PIN	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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