2219 GARFIELD ST
TWO RIVERS, WI 54241 US PECOS Enrolled
Alfredo Diaz
Internal Medicine Physician
- TWO RIVERS, WI
- Phone: (920)-793-2281
- Last Updated 12/1/2021
Overview
Alfredo Diaz is a Internal Medicine Physician in the TWO RIVERS area and has over 29 years of experience. Alfredo Diaz primary office location is at 2219 GARFIELD ST and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Nebraska College Of Medicine and graduated 1995
Alfredo Diaz is affiliated with nine hospitals in the TWO RIVERS area, including . The NPI number is 1902911159 and the information was updated approximately 3 years ago.
Alfredo Diaz is part of two medical groups, including AAMG REACH PLLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 3310 | NE |
| 39841 | WI |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 32468200 | WI |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | WI | Y |
| Internal Medicine Physician - Taxonomy Code 207R00000X | NE | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20050214000901 |
| PECOS Individual PAC ID: | 6709838113 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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