Individual ProviderAlberto DiazNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address258 S Chickasaw Trl Ste 203, Orlando, FL 32825-3558(407) 303-6588PECOS EnrollmentBased on the most recent information from CMS, provider Alberto Diaz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1659879344Provider TypeIndividualFull NameDiaz, AlbertoCredentialARNPGenderMaleSole ProprietorNoEnumeration Date1/27/2018Last Updated1/30/2023Contact InformationPractice LocationPractice Address258 S Chickasaw Trl Ste 203, Orlando, FL 32825-3558Phone(407) 303-6588FaxUnlisted FaxMailing LocationMailing Address258 S Chickasaw Trl Ste 203, Orlando, FL 32825-3558Phone(407) 303-6588FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9323070Florida