Healthcare Provider Details

I. General information

NPI: 1528354115
Provider Name (Legal Business Name): JAMIE DIAZ ROBINSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JAMIE LEA DIAZ MD

II. Dates (important events)

Enumeration Date: 06/22/2011
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

4635 35TH ST N
ARLINGTON VA
22207-4436
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4331
  • Fax:
Mailing address:
  • Phone: 415-265-1740
  • Fax: 703-310-2100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberMD048410
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101254812
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: