Alberto Diaz Jr., MD
Individual provider Active NPI Psychiatry Physician · Montgomery Village, MD
NPI 1699252155 · NPPES record last updated Jul 26, 2018
Key facts
- NPI
- 1699252155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- D0024632 (MD)
- Practice address
- 9721 Digging Rd
Montgomery Village, MD 20886-5102 - Phone
- (301) 346-1038
- NPI assigned
- Jul 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0024632 | MD | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0024632 | MD | Yes |
Addresses
Primary practice location
9721 Digging Rd
Montgomery Village, MD 20886-5102
Mailing address
9721 Digging Rd
Montgomery Village, MD 20886-5102
Phone (301) 346-1038
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All providers in Montgomery Village, MD · Psychiatry Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.