MEDICARE: HECTOR LUGONES DIAZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-26-506288	FL

General Provider Information

NPI Number	:	1255289955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HECTOR LUGONES DIAZ

Provider Business Mailing Address
First Line	:	4809 10TH ST NE
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34120-4446
Country	:	US
Telephone Number	:	786-535-0818
Fax Number	:

Provider Business Practice Location Address
First Line	:	708 GOODLETTE-FRANK RD N STE 1
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5644
Country	:	US
Telephone Number	:	239-351-0675
Fax Number	:	239-310-2045

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “ HECTOR LUGONES DIAZ ” Practice Location

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