Individual ProviderNielys Francis Ingles DiazNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6705 SW 57th Ave Ste 510, South Miami, FL 33143-3644(305) 850-9103(305) 781-6286PECOS EnrollmentBased on the most recent information from CMS, provider Nielys Francis Ingles Diaz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1013550615Provider TypeIndividualFull NameIngles Diaz, Nielys FrancisCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date10/26/2019Last Updated7/23/2020Contact InformationPractice LocationPractice Address6705 SW 57th Ave Ste 510, South Miami, FL 33143-3644Phone(305) 850-9103FaxUnlisted FaxMailing LocationMailing Address4265 NE 16th St, Homestead, FL 33033-6033Phone(305) 781-6286FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11004583Florida