MR. JESUS EDGARDO DIAZ NPI 1497122022

NPI Information

NPI: 1497122022
Provider Name: MR. JESUS EDGARDO DIAZ
Classification: Specialist/Technologist, Pathology - 246QL0900X
Entity Type: Individual

Specialization: Laboratory Management

Address:
1150 45TH ST
ROOM L-200
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 514-5360
Get Directions

MR. Jesus Edgardo Diaz is a laboratory management specialist technologist pathology in West Palm Beach, FL. MR. Jesus Edgardo Diaz NPI is 1497122022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1150 45TH ST
ROOM L-200
WEST PALM BEACH, FL
ZIP 33407-361
Phone: (561) 514-5360
Fax: (561) 514-5550

The enumeration date for this NPI number is 8/31/2015 and was last updated on 8/31/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246QL0900X	Specialist/Technologist, Pathology	Laboratory Management	SU28604	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	030448400	MEDICAID	FLORIDA
2	L9020	MEDICARE PIN	FLORIDA

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

NPI Synchronization or Removal

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