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NPI Code Detail

MEDICARE: DIEGO ALEXANDER GIRALDO

MEDICARE:   DIEGO ALEXANDER GIRALDO
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ15480700NJ

General Provider Information

NPI Number : 1235086026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIEGO ALEXANDER GIRALDO
Provider Business Mailing Address
First Line : 111 TOWN SQUARE PL STE 1201
Second Line : PMB 1251
City : JERSEY CITY
State : NJ
Zip : 07310-1724
Country : US
Telephone Number : 201-878-0930
Fax Number :
Provider Business Practice Location Address
First Line : 221 RIVER ST STE 9
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5990
Country : US
Telephone Number : 646-941-7645
Fax Number : 929-596-7897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ DIEGO ALEXANDER GIRALDO ” Practice Location

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