DR. ROBERTO DIAZ (NPI# 1255462578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255462578 |
| Entity Type | Individual |
| Full Name | DR. ROBERTO DIAZ |
| Credential | MD |
| Practice Address |
1805 S Ashland Ave Chicago IL 60608-2805 |
| Practice Telephone | 3124217010 |
| Practice Fax Number | 3124218056 |
| Mailing Telephone | 3124217010 |
| Mailing Fax Number | 3124218056 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346624483 | Roberto Diaz | Counselor | 11850 Nw 41st St, Sunrise, FL 33323-3612 | 2015-07-18 |
| 1710052295 | Roberto Diaz | Dentist | 1501 W Sam Houston St, Pharr, TX 78577-5111 | 2006-11-21 |
| 1679956221 | Roberto Jose Diaz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue, Miami, FL 33136 | 2015-07-01 |
| 1265855720 | Roberto T. Diaz | Counselor | 11 Sycamore St, Worcester, MA 01608-2213 | 2014-02-03 |
| 1568716959 | Roberto Jose Diaz | Anesthesiology | 1120 15th St, Augusta, GA 30912-0004 | 2012-11-06 |
| 1649591595 | Roberto Jose Diaz | Anesthesiology | 18585 Sigma Rd Ste 104, San Antonio, TX 78258-4204 | 2010-06-15 |
| 1124261110 | Roberto Ivan Diaz | Orthopaedic Surgery | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2009-04-07 |
| 1508909615 | Roberto Diaz | Counselor | 235 Chestnut St, Springfield, MA 01103-1100 | 2007-02-15 |
| 1962543389 | Roberto Diaz | Radiology | 12902 Usf Magnolia Dr, Mcc-rad Onc, Moffitt Cancer Center & Research Institute, Tampa, FL 33612-9416 | 2007-02-09 |
| 1912918400 | Roberto R Diaz | Internal Medicine | 4 Bypass Rd, Ste 203, Salem, NJ 08079 | 2006-08-10 |
| Street Address |
1805 S ASHLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811013220 | Steve Harvey | Chiropractor | 1805 S Ashland Ave, Chicago, IL 60608-2805 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1447666318 | M & F Medical Services, Ltd | Family Medicine | 5642 N Christiana Ave, Chicago, IL 60659-4555 | 2014-07-10 |
| 1457767774 | Rambha Radhakrishnan | Family Medicine | 2645 W Peterson Ave, Chicago, IL 60659-4017 | 2014-07-08 |
| 1730444639 | Iqbal S Husain | Family Medicine | 6936 N Chicora Ave, Chicago, IL 60646-1508 | 2012-07-07 |
| 1033480413 | Healthworks Integrative Medical Clinic | Family Medicine | 1165 N Clark St Ste 608, Chicago, IL 60610-7848 | 2012-01-18 |
| 1518123843 | Nastane Le Bec | Family Medicine | 6225 S Kenwood Ave Apt 1s, Chicago, IL 60637-3766 | 2008-08-06 |
| 1639372410 | Albert R Rosanova Jr Ltd | Family Medicine | 5510 W Montrose Ave, Chicago, IL 60641-1330 | 2007-06-07 |
| 1386860997 | Mariya Dmytriv-kapeniak | Family Medicine | 2540 W Chicago Ave, Chicago, IL 60622-5019 | 2007-04-18 |
| 1386784346 | Carroll Edward Smith | Family Medicine | 4215 S King Dr, Chicago, IL 60653-2663 | 2007-02-07 |
| 1265579262 | Maimanat Nizam | Family Medicine | 2001 W 69th St, Chicago, IL 60636-3262 | 2007-01-30 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.