MEDICARE: DR. HECTOR ALEJANDRO DIEZ CABALLERO 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
1	2084P0800X	Psychiatry Physician	82287	GA

General Provider Information

NPI Number	:	1639321250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HECTOR ALEJANDRO DIEZ CABALLERO MD

Provider Business Mailing Address
First Line	:	1401 PEACHTREE ST NE STE 110
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3005
Country	:	US
Telephone Number	:	470-749-3520
Fax Number	:	470-378-1997

Provider Business Practice Location Address
First Line	:	1401 PEACHTREE ST NE STE 110
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3005
Country	:	US
Telephone Number	:	470-749-3520
Fax Number	:	470-378-1997

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2008
Last Update Date	:	03/18/2026

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