Individual
DR. JORGE ALBERTO DE DIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
10820 NW 58TH ST, DORAL, FL 33178-2854
(305) 477-7111
(305) 594-3126
Mailing address
6446 NW 113TH CT, DORAL, FL 33178-3618
(305) 477-7111
(305) 640-0277
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME48450
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043536800
—
FL
Enumeration date
02/07/2007
Last updated
11/01/2022
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