Provider Demographics
NPI:1427062884
Name:DIAZ, HEBE ARROYO (MD)
Entity type:Individual
Prefix:MRS
First Name:HEBE
Middle Name:ARROYO
Last Name:DIAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720A MEDICAL PARK DRIVE
Mailing Address - Street 2:SUITE 130C
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532
Mailing Address - Country:US
Mailing Address - Phone:228-392-8881
Mailing Address - Fax:228-392-8887
Practice Address - Street 1:1720A MEDICAL PARK DRIVE
Practice Address - Street 2:SUITE 130C
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532
Practice Address - Country:US
Practice Address - Phone:228-392-8881
Practice Address - Fax:228-392-8887
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS19018207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04203772Medicaid
MS160000705Medicare UPIN
MS160000705Medicare PIN