Active NPIIndividual providerSole proprietor

Dr. Ivette E Diaz, MD

Internal Medicine in Brookfield, Connecticut

NPI Number1134109374
Practice location
304 Federal RD, Suite 201, Brookfield, CT 06804-2418
Fax
203-740-8250
Last updated
August 22, 2007

Ivette E. Diaz is an Internal Medicine based in Brookfield, CT. Ivette E. Diaz practices in Brookfield, CT and has the professional credentials of MD. The NPI Number for Ivette E. Diaz is 1134109374 and holds a License No. 035354 (CT). The current practice location address for Ivette E. Diaz is 304 Federal RD, Suite 201, Brookfield, CT 06804-2418 and can be reached out via phone at 203-740-2593 and via fax at 203-740-8250.

Provider Profile Details

NPI Number
1134109374
Provider Name
Ivette E. Diaz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
304 Federal RD, Suite 201, Brookfield, CT 06804-2418
Phone Number
203-740-2593
Fax Number
203-740-8250
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Other Names
-- Ivette .E. Gonzalez, MD (Former Name)
Provider Enumeration Date
January 21, 2006
Last Update Date
August 22, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
304 Federal RD
Suite 201
Brookfield, CT 06804-2418
Zip
06804-2418
Phone Number
203-740-2593
Fax Number
203-740-8250
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
304 Federal RD
Suite 201
Brookfield, CT 06804-2418
City
Brookfield
State
CT
Zip
06804-2418
Phone Number
203-740-2593
Fax Number
203-740-8250

License Information

License Number
035354
License State
CT
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ivette E Diaz, MD?

The NPI number of Dr. Ivette E Diaz, MD is 1134109374. It was assigned on January 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ivette E Diaz, MD?

Dr. Ivette E Diaz, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 035354.

Where does Dr. Ivette E Diaz, MD practice?

The practice location is 304 Federal RD, Suite 201, Brookfield, CT 06804-2418. The office can be reached at 203-740-2593 (phone) or 203-740-8250 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134109374 directly on the NPPES registry website.

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