DR. FREDIE C DIAZ (NPI# 1376578500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376578500 |
| Entity Type | Individual |
| Full Name | DR. FREDIE C DIAZ |
| Credential | M.D. |
| Practice Address |
3900 Las Estancias Ct Sw Albuquerque NM 87121 |
| Practice Telephone | 5057274200 |
| Practice Fax Number | 5057274949 |
| Mailing Telephone | 5057274200 |
| Mailing Fax Number | 5057274949 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2017-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD2016-0863 | NM | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 199224 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AETNA | 7855020 | 01 |
| NY | 01752607 | 05 | |
| NY | EMPIRE BC.BS | OX7112 | 01 |
| Street Address |
3900 LAS ESTANCIAS CT SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902899362 | Moriah B. Mahoney | Nurse Practitioner | 3900 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2005-08-31 |
| 1407879604 | Ximena Galarza-rios | Family Medicine | 3900 Las Estancias Ct Sw, Albuquerque, NM 87121-5513 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851862882 | Medic Buddy, LLC | Internal Medicine | 3420 Constitution Ave Ne Ste C, Albuquerque, NM 87106-1238 | 2018-12-17 |
| 1962984518 | Medical Whisperer Janet L Blanchard Md Internal Medicine Consultantllc | Internal Medicine | 717 Encino Pl Ne Ste 17, Albuquerque, NM 87102-2655 | 2018-08-30 |
| 1780189936 | Dania Qaryouti | Internal Medicine | Internal Medicine Msc10 5550 1 University of New Mexic, Albuquerque, NM 87131-0001 | 2018-03-29 |
| 1649782962 | Molina Healthcare of New Mexico | Internal Medicine | 400 Tijeras Ave Nw, Albuquerque, NM 87102-3234 | 2017-10-26 |
| 1679003503 | Aubrey Del Rosario | Internal Medicine | Msc (10-5550) 1 University of New Mexico, Albuquerque, NM 87131 | 2017-06-13 |
| 1487181848 | Lillian Khowong To | Internal Medicine | Msc Ophthalmology 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2017-05-16 |
| 1780037507 | Beulah Jyothy Koduru | Internal Medicine | 1 University of New Mexico Hospital Msc 10 5550, Albuquerque, NM 87131-5640 | 2016-07-16 |
| 1487006813 | Andres Eduardo Mendez-hernandez | Internal Medicine | Msc (internal M) 1 University of New Mexico Albuquerque, Albuquerque, NM 87131-0001 | 2016-07-11 |
| 1902251234 | Sakshi Sahni | Internal Medicine | Msc 10 5550 Gi Department 1 University of New Mexico, Albuquerque, NM 87131-7232 | 2016-04-23 |
| 1184078719 | Sarah Olivia Sharkey | Internal Medicine | Msc Internal Medicine, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-04-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.