Individual ProviderLuis Ruben Diaz-PaezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9333 SW 152 St, Emergency Department, Miami, FL 33157(305) 251-2500(786) 763-9917PECOS EnrollmentBased on the most recent information from CMS, provider Luis Ruben Diaz-Paez 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 2 days ago.Profile DetailsProvider ID1124548763Provider TypeIndividualFull NameDiaz-Paez, Luis RubenCredentialARNPGenderMaleSole ProprietorNoEnumeration Date6/25/2017Last Updated3/17/2018Contact InformationPractice LocationPractice Address9333 SW 152 St, Emergency Department, Miami, FL 33157Phone(305) 251-2500FaxUnlisted FaxMailing LocationMailing Address10861 SW 128th St, Miami, FL 33176-5442Phone(786) 763-9917FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9410772Florida