Diaz, Luis Michael

Diaz, Luis Michael is an sole proprietor health care provider with primary practice located at 970 Tommy Munro Dr Ste B , Biloxi MS 39532-2130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Diaz, Luis Michael can be contacted via phone (228) 396-2663.

Contact Information

Primary practice address
970 Tommy Munro Dr Ste B Biloxi MS 39532-2130
Phone: (228) 396-2663
Fax: (228) 396-2664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19063 Mississippi

Profile Details

NPI number 1245436815
LBN Legal business name Diaz, Luis Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2007
Last updated Aug 20th, 2012 - about 14 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 1245436815 NPPES
Mississippi Other 260367832 TAX ID

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