Diaz De Villegas, Hector Jose

Diaz De Villegas, Hector Jose is an sole proprietor health care provider with primary practice located at 2135 S Congress Ave Suite: 2C-D, Palm Springs FL 33406-7611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Diaz De Villegas, Hector Jose can be contacted via phone (561) 432-1822.

Contact Information

Primary practice address
2135 S Congress Ave Suite: 2C-D Palm Springs FL 33406-7611
Fax: (561) 432-0108
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0063404 Florida

Profile Details

NPI number 1598871014
LBN Legal business name Diaz De Villegas, Hector Jose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jun 6th, 2022 - about 2 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 1598871014 NPPES
Florida MEDICAID 379462800

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