Provider Demographics
NPI:1538392873
Name:DIEZ ARGUELLES, LOURDES MARIA (DPT)
Entity type:Individual
Prefix:
First Name:LOURDES
Middle Name:MARIA
Last Name:DIEZ ARGUELLES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5790 SW 54TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6338
Mailing Address - Country:US
Mailing Address - Phone:305-333-5203
Mailing Address - Fax:
Practice Address - Street 1:5790 SW 54TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6338
Practice Address - Country:US
Practice Address - Phone:305-333-5203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24122225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist