Diaz, Carlos Gilberto

Diaz, Carlos Gilberto is an individual health care provider with primary practice located at 202 E Earll Dr Ste 200 , Phoenix AZ 85012-2647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Diaz, Carlos Gilberto can be contacted via phone (602) 599-5434.

Contact Information

Primary practice address
202 E Earll Dr Ste 200 Phoenix AZ 85012-2647
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 44137 Arizona

Profile Details

NPI number 1043287048
LBN Legal business name Diaz, Carlos Gilberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jan 30th, 2020 - about 4 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 1043287048 NPPES
Arizona MEDICAID 589408

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