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Ivis Fuentes Diaz
NPI 1184315236 · on the registry since 2023 · sole proprietor
Practice
- Address
- 11625 Sw 168th Ter
Miami, FL 33157 - Phone
- (786) 771-1206
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida