Diaz, Gustavo Adolfo

Diaz, Gustavo Adolfo is an sole proprietor health care provider with primary practice located at 411 N Section St Ste 5 , Fairhope AL 36532-2650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Diaz, Gustavo Adolfo can be contacted via phone (251) 517-5050.

Contact Information

Primary practice address
411 N Section St Ste 5 Fairhope AL 36532-2650
Phone: (251) 517-5050
Fax: (251) 517-5049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 25353 Alabama
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X ME103280 Florida
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 02055 North Carolina

Profile Details

NPI number 1164599825
LBN Legal business name Diaz, Gustavo Adolfo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Aug 1st, 2019 - about 6 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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