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NPI Code Detail

MEDICARE: DR. BARBARA ANDREA DIAZ HERNANDEZ MD

MEDICARE: DR. BARBARA ANDREA DIAZ HERNANDEZ MD
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
12084P0800XPsychiatry Physician5690PR
22084P0800XPsychiatry Physician4301064824MI

General Provider Information

NPI Number : 1366486961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA ANDREA DIAZ HERNANDEZ MD
Provider Business Mailing Address
First Line : 249 SILVER HILLS DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-8749
Country : US
Telephone Number : 787-647-1396
Fax Number :
Provider Business Practice Location Address
First Line : 500 BARFIELD DR
Second Line :
City : HASTINGS
State : MI
Zip : 49058-9018
Country : US
Telephone Number : 269-948-8041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 05/24/2022

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