Healthcare Provider Details

I. General information

NPI: 1386089134
Provider Name (Legal Business Name): EVA DIAZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2013
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 Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberDR.0056450
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: