Mr. Kimi San Miguel Diaz, MS, PA-C
Mr. Kimi San Miguel Diaz, MS, PA-C is a Physician Assistant in Peabody, Massachusetts. Licensed in New York. Registered with an NPI since 2023.
- Licensed in
- NY
- In the registry since
- 2023
What do these letters mean?
Practice location Address checks out
300 Jubilee DrPeabody, MA 01960-4068
Phone: (978) 513-7588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X (NY) |
|---|
Record details
| NPI number | 1114632510 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , PA-C |
| Sole proprietor | No |
| NPI enumerated | January 19, 2023 |
| Last updated in NPPES | October 23, 2023 |
| Certification date | October 23, 2023 |
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