Individual
LUIS ENRIQUE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-6448
Mailing address
55 SAVOY RD, NEEDHAM, MA 02492-4035
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
82215
MA
2085R0202X
Diagnostic Radiology Physician
Primary
82215
MA
Other
Enumeration date
07/04/2006
Last updated
01/11/2017
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