Diaz, Carlos Elvin

Diaz, Carlos Elvin is an individual health care provider with primary practice located at 1515 S 8Th St , Deming NM 88030-4940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Diaz, Carlos Elvin can be contacted via phone (575) 544-3937.

Contact Information

Primary practice address
1515 S 8Th St Deming NM 88030-4940
Phone: (575) 544-3937
Fax: (575) 546-2870
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD2014-0132 New Mexico
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 48484 Arizona
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X MD2014-0132 New Mexico
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 48484 Arizona

Profile Details

NPI number 1093797011
LBN Legal business name Diaz, Carlos Elvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Apr 30th, 2019 - about 7 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 1093797011 NPPES
Arizona Other Z163113 MEDICARE PIMA PTAN
Arizona MEDICAID MD2014-0132 MEDICARE PIMA PTAN
Arizona MEDICAID 878342 MEDICARE PIMA PTAN

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