Diaz Internal Medicine and Pediatrics

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31532 Issued in AZ

Legal business name

DIAZ INTERNAL MEDICINE AND PEDIATRICS

Doing business as

Arizona Medical Institute

Practice address

3050 N Litchfield Rd
Suite 130
Goodyear, AZ 85395-7804

Phone

(623) 536-7600

Fax

(623) 536-7828

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Vicente Diaz-Gonzalez, M.D.

Title

Owner and Physician

Phone

(623) 536-7600

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Arizona Medical Institute Doing business as

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1710102272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14175 W INDIAN SCHOOL RD",
            "address_2": "SUITE B4 605",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958369",
            "telephone_number": "623-536-7600",
            "fax_number": "623-536-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 N LITCHFIELD RD",
            "address_2": "SUITE 130",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957804",
            "telephone_number": "623-536-7600",
            "fax_number": "623-536-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ INTERNAL MEDICINE AND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "DIAZ-GONZALEZ",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "623-536-7600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "31532",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332069",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Medical Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeff L Devries, PT
• Sonam Dhanota, RN
• Suman Dhanota
• DHT Hand Therapy Limited Partnership (Desert Hand and Physical Therapy)
• Heather Tamera Diamond
• Denise M Diaz, NP
• Kristen Dicicco, OT, DOT
• Lynn M Dierks, ACNP
• Michelle Dillon, CCC-SLP
• Jennifer S Dimas, WHNP-BC

• Internal Medicine Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.