Diez-Morales, Luis
Diez-Morales, Luis is an individual health care provider with primary practice located at 1000 Asylum Ave Ste 1004, Hartford CT 06105-1770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Diez-Morales, Luis can be contacted via phone (860) 714-4532.Contact Information
Primary practice address
1000 Asylum Ave Ste 1004
Hartford CT 06105-1770
Phone: (860) 714-4532
Fax: (860) 714-8275
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 025560 | Connecticut |
Profile Details
NPI number | 1205838513 |
---|---|
LBN Legal business name | Diez-Morales, Luis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2005 |
Last updated | Nov 12th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205838513 | NPPES |
Connecticut | MEDICAID | 001255604 |
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