Individual
HECTOR JOSE DIAZ DE VILLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2135 S CONGRESS AVE, SUITE: 2C-D, PALM SPRINGS, FL 33406-7611
(561) 432-1822
(561) 432-0108
Mailing address
2135 S CONGRESS AVE, SUITE: 2C-D, PALM SPRINGS, FL 33406-7611
(561) 432-1822
(561) 432-0108
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0063404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379462800
—
FL
Enumeration date
08/21/2006
Last updated
06/06/2022
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