Provider Demographics
NPI:1013053859
Name:DIEGUEZ, FRANCISCO J JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:J
Last Name:DIEGUEZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 E 49TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1846
Mailing Address - Country:US
Mailing Address - Phone:305-575-1776
Mailing Address - Fax:305-575-1780
Practice Address - Street 1:145 E 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1846
Practice Address - Country:US
Practice Address - Phone:305-575-1776
Practice Address - Fax:305-575-1780
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84898207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269769600Medicaid
FL006461200Medicaid
FLI18872Medicare UPIN