Individual provider · NPI-1
Anelis Diaz-Maseda
Technician/Technologist, Optician · Hialeah Gardens, FL
NPI number1487525432
StatusActive
Last updated in NPPESSep 15, 2025
Details
- NPI
- 1487525432
- Entity type
- Individual (NPI-1)
- Name
- Anelis Diaz-Maseda
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2025
- Certification date
- Sep 14, 2025
- Last updated
- Sep 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 5853 | FL | Yes |
Practice location
9300 Nw 77th AveHialeah Gardens, FL 33016-2504
Phone 305-819-0672
Mailing address
14632 Sw 113th LnMiami, FL 33186-7067
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