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REX GALAM DIAZ NPI 1700071529


NPI Information

NPI: 1700071529
Provider Name: REX GALAM DIAZ
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
612 KINGSBOROUGH SQ SUITE 202
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 673-8562
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REX GALAM DIAZ is a podiatrist in Chesapeake, VA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. REX GALAM DIAZ NPI is 1700071529. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

612 KINGSBOROUGH SQ SUITE 202
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 673-8562

The provider's authorized official is Rex Galam Diaz .
The authorized official title is Owner and has the following contact phone number (757) 673-8562.

The enumeration date for this NPI number is 9/14/2007 and was last updated on 4/25/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist0103300814VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1VAA102838MEDICARE PINVIRGINIA
2010135729MEDICAIDVIRGINIA
3Y28030MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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