De Diego, Jorge Alberto

De Diego, Jorge Alberto is an individual health care provider with primary practice located at 10820 Nw 58Th St , Doral FL 33178-2854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. De Diego, Jorge Alberto can be contacted via phone (305) 477-7111.

Contact Information

Primary practice address
10820 Nw 58Th St Doral FL 33178-2854
Phone: (305) 477-7111
Fax: (305) 594-3126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME48450 Florida

Profile Details

NPI number 1386784684
LBN Legal business name De Diego, Jorge Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Nov 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386784684 NPPES
Florida MEDICAID 043536800

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