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Contact Information

GILDA DIAZ FUENTES, MD
1770 GRAND CONCOURSE
2G
BRONX, NY10457-5524
 Phone: 718-518-5581
 Fax: 718-299-1877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GILDA DIAZ FUENTES · (Female)

NPI Number 1073553848
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 201175
  • NY Medicaid 01613950
Hospital affiliation(s)
  • BRONX-LEBANON HOSPITAL CENTER - (Acute Care)
    1276 FULTON AVENUE
    BRONX, NY 10456
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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