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NPI Code Detail

MEDICARE: SETH SAUL DIAZ

MEDICARE: SETH SAUL DIAZ
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1578492351
Entity Type Code : Individual
Provider Name (Legal Business Name) : SETH SAUL DIAZ
Provider Business Mailing Address
First Line : 22154 FRANCIS ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2793
Country : US
Telephone Number : 845-494-2569
Fax Number :
Provider Business Practice Location Address
First Line : 4160 JOHN R ST STE 615
Second Line :
City : DETROIT
State : MI
Zip : 48201-2022
Country : US
Telephone Number : 313-745-4195
Fax Number : 313-993-8669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ SETH SAUL DIAZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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