Individual
HECTOR JOSE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9780 N 56TH ST, SUITE C, TEMPLE TERRACE, FL 33617-5508
(813) 549-7465
Mailing address
1808 JAMES REDMANN PRKWY, # 168, PLANT CITY, FL 33563
(813) 757-1290
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME0050679
FL
207QA0505X
Adult Medicine Physician
Primary
ME50679
FL
207R00000X
Internal Medicine Physician
ME50679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03957
BCBS
FL
05
—
046149100
—
FL
01
—
P00217513
RR MCR
—
Enumeration date
03/08/2006
Last updated
09/15/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us