Individual
DIEGO M FREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12230 LIONESS WAY, PARKER, CO 80134-5603
(720) 644-9355
Mailing address
12230 LIONESS WAY, PARKER, CO 80134-5603
(720) 644-9355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36642
CO
207R00000X
Internal Medicine Physician
ME 85363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110238857
RAILROAD MEDICARE
FL
01
—
17392
BLUE CROSS BLUE SHIELD FL
FL
05
—
264811300
—
FL
01
—
59082835
BLUE CROSS BLUE SHIELD AL
AL
01
—
B809
HEALTH FIRST NETWORK
FL
Enumeration date
01/18/2006
Last updated
08/24/2021
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