Hector Jose Diaz de Villegas

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0063404 Issued in FL

Practice address

2135 S Congress Ave
Suite: 2C-D
Palm Springs, FL 33406-7611

Phone

(561) 432-1822

Fax

(561) 432-0108

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Care Center Inc

  • Pediatrics Physician
  • Palm Springs, FL
  • NPI 1396095998
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1598871014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 S CONGRESS AVE",
            "address_2": "SUITE: 2C-D",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067611",
            "telephone_number": "561-432-1822",
            "fax_number": "561-432-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 S CONGRESS AVE",
            "address_2": "SUITE: 2C-D",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067611",
            "telephone_number": "561-432-1822",
            "fax_number": "561-432-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ DE VILLEGAS",
        "first_name": "HECTOR",
        "middle_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0063404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379462800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duclos Dessalines, MD
• Alyssa Nicole Destefano, LCSW
• Pamela E Detlefsen, LMHC, CAP
• Erick Devora Pestano
• Devoted Family Home Care LLC
• Aylen Diaz Garcia, APRN
• Lisibet Diaz Sanchez
• Agnes Inez Diaz-Pena, MS
• Ivon Diaz
• Marelis Diaz

• Pediatrics Physician in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.