Diaz, Hector Jose
Diaz, Hector Jose is an individual health care provider with primary practice located at 9780 N 56Th St Suite C, Temple Terrace FL 33617-5508. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Diaz, Hector Jose can be contacted via phone (813) 549-7465.Contact Information
Primary practice address
9780 N 56Th St Suite C
Temple Terrace FL 33617-5508
Phone: (813) 549-7465
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME0050679 | Florida |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ME50679 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME50679 | Florida |
Profile Details
| NPI number | 1538137518 |
|---|---|
| LBN Legal business name | Diaz, Hector Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Sep 15th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538137518 | NPPES |
| Other | P00217513 | RR MCR | |
| MEDICAID | 046149100 | RR MCR | |
| Other | 03957 | RR MCR |
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