Jorge Luis Diez (NPI# 1316940463, PAC ID# 5799776902) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1316940463 |
| PAC ID by PECOS | 5799776902 |
| Professional Enrollment ID | I20040827000183 |
| Full Name | Jorge Luis Diez |
| Organization Legal Name | PRIME HEALTHCARE, PC |
| Address |
893 Main St Suite 202 East Hartford CT 06108-2293 |
| Phone Number | 8605284124 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 6709787930 |
| Number of Group Practice Members | 67 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070002 | ST FRANCIS HOSPITAL & MEDICAL CENTER |
| 070008 | JOHNSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 893 Main St, Suite 202, East Hartford, CT 06108-2293 | 8605284124 | PRIME HEALTHCARE, PC |
| Organization Legal Name | PRIME HEALTHCARE, PC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jude Martine Hall | Nurse Practitioner | Prime Healthcare, PC | 30 Hyde Ave, Vernon, CT 06066-4503 |
| Aida Becker | Family Medicine | Prime Healthcare, PC | 75 Great Pond Rd, Suite 200, Simsbury, CT 06070-1980 |
| Amber Christel Berry | Nurse Practitioner | Prime Healthcare, PC | 353 Franklin Ave, Hartford, CT 06114-2540 |
| Anthony Zaldonis | Gastroenterology | Prime Healthcare, PC | 19 Woodland St, Suite 23, Hartford, CT 06105-2368 |
| Gregory C Walsh | Internal Medicine | Prime Healthcare, PC | 20 Isham Rd, Suite 150a, West Hartford, CT 06107-2204 |
| Alan Soroka | Internal Medicine | Prime Healthcare, PC | 3 Concorde Way, Suite 103, Windsor Locks, CT 06096-1578 |
| William R Preskenis | Pulmonary Disease | Prime Healthcare, PC | 30 W Avon Rd, Suite D, Avon, CT 06001-3678 |
| Anthony M Roselli | Family Medicine | Prime Healthcare, PC | 54 W Avon Rd, Suite 101, Avon, CT 06001-3680 |
| Santo Buccheri | Internal Medicine | Prime Healthcare, PC | 357 Franklin Ave, Hartford, CT 06114-2540 |
| Carol A Petruff | Gastroenterology | Prime Healthcare, PC | 30 Jordan Ln, Wethersfield, CT 06109-1278 |
| Street Address |
893 MAIN ST SUITE 202 |
| City | EAST HARTFORD |
| State | CT |
| Zip | 06108-2293 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew L Feller | Family Medicine | Asylum Hill Family Medicine Center, Inc. | 893 Main St, Suite 101, East Hartford, CT 06108-2293 |
| Patricia Samuels | Nurse Practitioner | Asylum Hill Family Medicine Center, Inc. | 893 Main St, Suite 101, East Hartford, CT 06108-2293 |
| Christine Hanna | Family Medicine | Asylum Hill Family Medicine Center, Inc. | 893 Main St, Suite 101, East Hartford, CT 06108-2293 |
| Fielding Johnson Iii | Pulmonary Disease | Prime Healthcare, PC | 893 Main St, Suite 202, East Hartford, CT 06108-2293 |
| Cristina Ortega | Family Medicine | Prime Healthcare, PC | 893 Main St, Suite 202, East Hartford, CT 06108-2293 |
| Kenia Mansilla-rivera | Family Medicine | Asylum Hill Family Medicine Center, Inc. | 893 Main St, Suite 101, East Hartford, CT 06108-2293 |
| Thomas J Prignano | Optometry | 893 Main St, Suite 201, East Hartford, CT 06108-2292 | |
| Ronald E Kimmel | Internal Medicine | Prime Healthcare, PC | 893 Main St, Suite 202, East Hartford, CT 06108-2293 |
| Katherine Thomsen | Nurse Practitioner | Prime Healthcare, PC | 893 Main St, Suite 202, East Hartford, CT 06108-2293 |
| Roy Zagieboylo | Family Medicine | Asylum Hill Family Medicine Center, Inc. | 893 Main St, Suite 101, East Hartford, CT 06108-2293 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neeta Mehta | Internal Medicine | Prime Healthcare, PC | 893 Main St, East Hartford, CT 06108-2235 |
| Michelle L Reichle Dresser | Optometry | 893 Main St, East Hartford, CT 06108-2292 | |
| Jennifer Bruhns | Optometry | 893 Main St, Suite 201, East Hartford, CT 06108-2292 | |
| Amber Cheema | Family Medicine | Asylum Hill Family Medicine Center, Inc. | 893 Main St, Suite 101, East Hartford, CT 06108-2293 |
| Mohammad M Rahman | Internal Medicine | M. Hasan Yekta, M.d. P.C. | 478 Burnside Ave, East Hartford, CT 06108-2425 |
| David S Henry | Internal Medicine | 49 Connecticut Blvd, East Hartford, CT 06108-3010 | |
| Juliana B Berenyi | Family Medicine | First Choice Health Centers, Inc. | 94 Connecticut Blvd, East Hartford, CT 06108-3013 |
| Jacqueline Jordan | Physician Assistant | First Choice Health Centers, Inc. | 110 Connecticut Blvd, East Hartford, CT 06108-3013 |
| Shirley Oribio Staltaro | Psychologist, Clinical | Staltaro Psychological Services LLC | 96 Connecticut Blvd, East Hartford, CT 06108-3013 |
| Towanna J Headley | Clinical Social Worker | First Choice Health Centers, Inc. | 110 Connecticut Blvd, East Hartford, CT 06108-3013 |
| Find all physicians in zip 06108 | |||
| City | EAST HARTFORD |
| Zip Code | 06108 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | EAST HARTFORD + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Jorge Luis Diez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.