Diaz-Lacayo, Marvin
Diaz-Lacayo, Marvin is an individual health care provider with primary practice located at 2100 Dorchester Ave , Dorchester Center MA 02124-5615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Diaz-Lacayo, Marvin can be contacted via phone (617) 296-4000.Contact Information
Primary practice address
2100 Dorchester Ave
Dorchester Center MA 02124-5615
Phone: (617) 296-4000
Fax: (617) 474-3856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 223423 | Massachusetts |
Profile Details
| NPI number | 1477590214 |
|---|---|
| LBN Legal business name | Diaz-Lacayo, Marvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Oct 19th, 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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