Provider Demographics
NPI:1407044126
Name:DIAZ-ZUBIETA, ANA MARIA (PHD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:MARIA
Last Name:DIAZ-ZUBIETA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 SW 57TH CT STE 555
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5334
Mailing Address - Country:US
Mailing Address - Phone:305-668-7999
Mailing Address - Fax:
Practice Address - Street 1:7301 SW 57TH CT STE 555
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5334
Practice Address - Country:US
Practice Address - Phone:305-668-7999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7573103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical