Search › Florida › 106S00000X
Ilianni Diaz Pena
NPI 1659080489 · on the registry since 2022 · sole proprietor
Practice
- Address
- 18025 Nw 17th Ave
Miami Gardens, FL 33056 - Phone
- (786) 656-2965
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-21
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