Diaz, Rosendo Diego

Diaz, Rosendo Diego is an individual health care provider with primary practice located at 801 E Dixie Ave Suite 104, Leesburg FL 34748-7601. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Magnetic Resonance Imaging (MRI), Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Diaz, Rosendo Diego can be contacted via phone (352) 365-2583.

Contact Information

Primary practice address
801 E Dixie Ave Suite 104 Leesburg FL 34748-7601
Phone: (352) 365-2583
Fax: (352) 728-6749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME40028 Florida
Allopathic & Osteopathic Physicians / Magnetic Resonance Imaging (MRI) 207RM1200X 40028 Florida
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME40028 Florida

Profile Details

NPI number 1669420782
LBN Legal business name Diaz, Rosendo Diego
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Feb 24th, 2016 - about 8 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 1669420782 NPPES
Florida Other 300133479 RR MEDICARE RACF
Florida Other 300133480 RR MEDICARE RACF
Florida MEDICAID 046908400 RR MEDICARE RACF

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