Diaz Devillegas, Grisell Caridad

Diaz Devillegas, Grisell Caridad is an individual health care provider with primary practice located at 2135 S Congress Ave Bldg 2 Suite A B, West Palm Beach FL 33406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Diaz Devillegas, Grisell Caridad can be contacted via phone (561) 641-0811.

Contact Information

Primary practice address
2135 S Congress Ave Bldg 2 Suite A B West Palm Beach FL 33406
Phone: (561) 641-0811
Fax: (561) 641-0813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0068858 Florida

Profile Details

NPI number 1821069238
LBN Legal business name Diaz Devillegas, Grisell Caridad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Aug 25th, 2011 - 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 1821069238 NPPES
Florida MEDICAID 251597100

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