Diaz, Susan M
Diaz, Susan M is an individual health care provider with primary practice located at Presbyterian Hospital 1100 Central Ave Se Pmg Pediatric Intensivists, Albuquerque NM 87106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Diaz, Susan M can be contacted via phone (505) 841-1163.Contact Information
Primary practice address
Presbyterian Hospital 1100 Central Ave Se Pmg Pediatric Intensivists
Albuquerque NM 87106
Phone: (505) 841-1163
Fax: (505) 724-7043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 98-247 | New Mexico |
Profile Details
| NPI number | 1982713210 |
|---|---|
| LBN Legal business name | Diaz, Susan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Aug 15th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982713210 | NPPES |
| New Mexico | MEDICAID | 10257357 |
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