Jose Manuel Diaz Jr
Behavior Technician in Hialeah, FL. Individual provider (NPI-1).
NPI number1649782004
StatusActive
Last updated in NPPESOct 25, 2017
Details
- NPI
- 1649782004
- Entity type
- Individual (NPI-1)
- Name
- Jose Manuel Diaz Jr
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2017
- Last updated
- Oct 25, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
841 E 34th StHialeah, FL 33013-3109
Phone 786-515-4769 · Fax 305-742-2190
Mailing address
841 E 34th StHialeah, FL 33013-3109
Phone 786-515-4769 · Fax 305-742-2190
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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