Provider Demographics
NPI:1396636783
Name:DIAZ, MIREYA TAVIZON
Entity type:Individual
Prefix:MS
First Name:MIREYA
Middle Name:TAVIZON
Last Name:DIAZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 LA GUARDIA ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93905-3354
Mailing Address - Country:US
Mailing Address - Phone:831-905-7898
Mailing Address - Fax:
Practice Address - Street 1:730 LA GUARDIA ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93905-3354
Practice Address - Country:US
Practice Address - Phone:831-905-7898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker