Individual
HECTOR DIAZ
Active
Individual
HECTOR DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD039992L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011490660011
—
PA
05
—
0011490660012
—
PA
01
—
111774
VALUE OPTIONS
PA
01
—
153233
HIGHMARK BLUE SHIELD
PA
01
—
4495678
AETNA NON-HMO
PA
01
—
50056764
CAPITAL BLUE CROSS
PA
Enumeration date
04/06/2006
Last updated
05/22/2020
Update your record
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