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NPI Code Detail

MEDICARE: DIABETIC INSTITUTE

MEDICARE: DIABETIC INSTITUTE
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
12085R0204XVascular & Interventional Radiology Physician
2213ES0103XFoot & Ankle Surgery Podiatrist
3207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1669328084
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIABETIC INSTITUTE
Provider Business Mailing Address
First Line : 3001 ESTATE ORANGE GRV
Second Line :
City : CHRISTIANSTED
State : VI
Zip : 00820-4295
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3001 ESTATE ORANGE GRV
Second Line :
City : CHRISTIANSTED
State : VI
Zip : 00820-4295
Country : US
Telephone Number : 340-715-7755
Fax Number :
Authorized Official
Title or Position : EMPLOYEE
Name : REGINA FLIPPIN
Credential : DPM
Telephone Number : 414-793-3211
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “DIABETIC INSTITUTE ” Practice Location

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