Jose Antonio Izquierdo Diaz, MD

NPI #1235534215 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1235534215
Entity Type: Individual
Name: Jose Antonio Izquierdo Diaz, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 3, 2014
Last Updated: Jul 19, 2017

Practice Location

Address: 10280 SW STEPHANIE WAY # 8-101
City: Port Saint Lucie
State: Florida
ZIP Code: 34987-1962
Phone: (786) 389-6304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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