Healthcare Provider Details

I. General information

NPI: 1063349652
Provider Name (Legal Business Name): EVA DIAZ MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 QUEBEC ST STE 4500
DENVER CO
80207-2310
US

IV. Provider business mailing address

3401 QUEBEC ST STE 4500
DENVER CO
80207-2310
US

V. Phone/Fax

Practice location:
  • Phone: 720-729-9338
  • Fax: 720-710-4490
Mailing address:
  • Phone: 720-729-9338
  • Fax: 720-710-4490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: EVA M DIAZ
Title or Position: OWNER/SOLE PROPIETOR
Credential: MD
Phone: 720-729-9338