Provider Demographics
NPI:1720155179
Name:ADARVE, DIEGO LUIS (DPM)
Entity type:Individual
Prefix:DR
First Name:DIEGO
Middle Name:LUIS
Last Name:ADARVE
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 SW 3RD AVE APT 1107
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-2058
Mailing Address - Country:US
Mailing Address - Phone:305-904-4311
Mailing Address - Fax:
Practice Address - Street 1:9485 SUNSET DR STE A100
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3214
Practice Address - Country:US
Practice Address - Phone:305-552-5545
Practice Address - Fax:305-552-0156
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3253213E00000X
FLPO-3253213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPO-3253OtherPODIATRY MEDICAL LICENSE