Individual ProviderWalter N DiazGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address2721 SW 137th Ave, 110, Miami, FL 33175-6355(786) 313-3204PECOS EnrollmentBased on the most recent information from CMS, provider Walter N 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 yesterday at 12:57 PM.Profile DetailsProvider ID1881984862Provider TypeIndividualFull NameDiaz, Walter NCredentialLMTGenderMaleSole ProprietorYesEnumeration Date4/12/2011Last Updated4/12/2011Contact InformationPractice LocationPractice Address2721 SW 137th Ave, 110, Miami, FL 33175-6355Phone(786) 313-3204Fax(786) 313-3205Mailing LocationMailing Address2721 SW 137th Ave, 110, Miami, FL 33175-6355Phone(786) 313-3204Fax(786) 313-3205Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseME101324Florida