Individual provider · NPI-1

Jose Juan Diaz, DO

Physical Medicine & Rehabilitation · Plantation, FL

NPI number1164535753
StatusActive
Last updated in NPPESOct 13, 2026

Details

NPI
1164535753
Entity type
Individual (NPI-1)
Name
Jose Juan Diaz
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 16, 2006
Certification date
Oct 13, 2026
Last updated
Oct 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationOS9686FLYes
2081P2900X Physical Medicine & Rehabilitation, Pain MedicineOS9686FL

Practice location

150 Nw 70th Ave Ste 3
Plantation, FL 33317-2911

Phone 954-564-3200 · Fax 954-663-9188

Mailing address

150 Nw 70th Ave Ste 3
Plantation, FL 33317-2911

Phone 954-564-3200 · Fax 954-663-9188

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