Diaz, Gabriel

Diaz, Gabriel is an sole proprietor health care provider with primary practice located at 2150 Pennsylvania Ave Nw , Washington DC 20037-3201. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Diaz, Gabriel can be contacted via phone (202) 741-2160.

Contact Information

Primary practice address
2150 Pennsylvania Ave Nw Washington DC 20037-3201
Phone: (202) 741-2160
Fax: (202) 741-2169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 9323295 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X NP500003630 District of Columbia

Profile Details

NPI number 1124492798
LBN Legal business name Diaz, Gabriel
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2015
Last updated Jul 20th, 2022 - about 3 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 1124492798 NPPES
Florida MEDICAID 016403100
Florida Other P3Y45

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