Jaramillo, Diego
Jaramillo, Diego is an individual health care provider with primary practice located at 630 W 168Th St # Mc28 , New York NY 10032-3725. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Jaramillo, Diego can be contacted via phone (305) 965-2962.Contact Information
Primary practice address
630 W 168Th St # Mc28
New York NY 10032-3725
Phone: (305) 965-2962
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | ME 130137 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 294755 | New Mexico |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 294755 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | MD424673 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | C132104 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD424673 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C132104 | California |
Profile Details
| NPI number | 1164473633 |
|---|---|
| LBN Legal business name | Jaramillo, Diego |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | May 11th, 2024 - about last year |
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 | 1164473633 | NPPES |
| Pennsylvania | MEDICAID | 1011534370001 |
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