Individual
MR. OLIVER B DIAZ
Active
Individual
MR. OLIVER B DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
016620
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001166206
—
CT
01
—
0016620600
BLUE CARE FAMILY
CT
01
—
010016620CT01
BLUE SHIELD
CT
01
—
0192997
CIGNA
CT
01
—
4342196
AETNA
CT
01
—
500HBX031CT01
BLUE CROSS
CT
01
—
791603
CONNECTICARE
CT
01
—
83286
U.S. HEALTHCARE
CT
01
—
OR1837
HEALTHNET
CT
01
—
P464314
OXFORD
CT
Enumeration date
08/05/2006
Last updated
06/09/2020
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