Dr JORGE LUIS DIEZ MD is a male medical professional, specializing in Endocrinology. He graduated in 1990 from University Of Puerto Rico School Of Medicine.
PRIME HEALTHCARE, PC
893 MAIN ST
SUITE 202
EAST HARTFORD
CT
061082293
Tel: 8605284124
| Npi | 1316940463 |
| Pac Id | 5799776902 |
| Professional Enrollment Id | I20040827000183 |
| Last Name | DIEZ |
| First Name | JORGE |
| Middle Name | LUIS |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | ENDOCRINOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PRIME HEALTHCARE, PC |
| Group Practice Pac Id | 6709787930 |
| Number Of Group Practice Members | 59 |
| Line 1 Street Address | 893 MAIN ST |
| Line 2 Street Address | SUITE 202 |
| Marker Of Address Line 2 Suppression | |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 061082293 |
| Phone Number | 8605284124 |
| Hospital Affiliation Ccn 1 | 070002 |
| Hospital Affiliation Lbn 1 | ST FRANCIS HOSPITAL & MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 070008 |
| Hospital Affiliation Lbn 2 | JOHNSON MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 070027 |
| Hospital Affiliation Lbn 3 | MANCHESTER MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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