Active NPIIndividual provider

Marvin Diaz-Lacayo, MD

Internal Medicine in Dorchester Center, Massachusetts

NPI Number1477590214
Practice location
2100 Dorchester Ave, Dorchester Center, MA 02124-5615
Fax
617-474-3856
Last updated
October 19, 2011

Marvin Diaz-Lacayo is an Internal Medicine based in Dorchester Center, MA. Marvin Diaz-Lacayo practices in Dorchester Center, MA and has the professional credentials of MD. The NPI Number for Marvin Diaz-Lacayo is 1477590214 and holds a License No. 223423 (MA). The current practice location address for Marvin Diaz-Lacayo is 2100 Dorchester Ave, Dorchester Center, MA 02124-5615 and can be reached out via phone at 617-296-4000 and via fax at 617-474-3856.

Provider Profile Details

NPI Number
1477590214
Provider Name
Marvin Diaz-Lacayo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2100 Dorchester Ave, Dorchester Center, MA 02124-5615
Phone Number
617-296-4000
Fax Number
617-474-3856
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2006
Last Update Date
October 19, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
2100 Dorchester Ave
Dorchester Center, MA 02124-5615
Zip
02124-5615
Phone Number
617-296-4000
Fax Number
617-474-3856
Dorchester Center, MA 02124Get directions →

Provider Business Mailing Address Details

Address
2100 Dorchester Ave
Dorchester Center, MA 02124-5615
City
Dorchester Center
State
MA
Zip
02124-5615
Phone Number
617-506-4901

License Information

License Number
223423
License State
MA
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 Marvin Diaz-Lacayo, MD?

The NPI number of Marvin Diaz-Lacayo, MD is 1477590214. It was assigned on June 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Marvin Diaz-Lacayo, MD?

Marvin Diaz-Lacayo, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 223423.

Where does Marvin Diaz-Lacayo, MD practice?

The practice location is 2100 Dorchester Ave, Dorchester Center, MA 02124-5615. The office can be reached at 617-296-4000 (phone) or 617-474-3856 (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 1477590214 directly on the NPPES registry website.

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