Provider Demographics
NPI:1942197124
Name:PUJOL DIAZ, ARISLEIDY (DMD)
Entity type:Individual
Prefix:
First Name:ARISLEIDY
Middle Name:
Last Name:PUJOL DIAZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 HARRIS TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2730
Mailing Address - Country:US
Mailing Address - Phone:786-603-6008
Mailing Address - Fax:
Practice Address - Street 1:2925 NE 119TH ST
Practice Address - Street 2:STE 309
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:305-935-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL304081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice