| Hugo Diez Jr Md Pa | |
|
11880 Sw 40th St Suite 216 Miami FL 33175-3584 | |
| (305) 552-5792 | |
| (305) 552-6119 |
| Full Name | Hugo Diez Jr Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 11880 Sw 40th St, Miami, Florida |
| Authorized Official Name and Position | Hugo Diez Jr (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 3055525792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hugo Diez Jr Md Pa 11880 Sw 40th St Suite 216 Miami FL 33175-3584 Ph: (305) 552-5792 | Hugo Diez Jr Md Pa 11880 Sw 40th St Suite 216 Miami FL 33175-3584 Ph: (305) 552-5792 |
| NPI Number | 1821208117 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/07/2020 |
| Medicare PECOS PAC ID | 2264518141 |
|---|---|
| Medicare Enrollment ID | O20080319000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821208117 | NPI | - | NPPES |
| 053950300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0059913 (Florida) | Primary |
| Provider Name | Hugo Diez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710914205 PECOS PAC ID: 3779558994 Enrollment ID: I20040831001352 |
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