Provider Demographics
NPI:1336155183
Name:BIAGGI, HECTOR ROBERTO (MD)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:ROBERTO
Last Name:BIAGGI
Suffix:
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 1:950 6TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5633
Mailing Address - Country:US
Mailing Address - Phone:800-522-3384
Mailing Address - Fax:239-659-9700
Practice Address - Street 1:950 6TH AVE N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5633
Practice Address - Country:US
Practice Address - Phone:800-522-3383
Practice Address - Fax:239-659-9700
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1696292084A0401X
FLME 591352084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1336155183Medicaid