Provider Demographics
NPI:1033489679
Name:QUILES DIAZ, JOSE FRANCISCO (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:FRANCISCO
Last Name:QUILES DIAZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:601 S HARBOUR ISLAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5925
Mailing Address - Country:US
Mailing Address - Phone:800-480-5243
Mailing Address - Fax:800-928-7449
Practice Address - Street 1:1575 BANDERA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78288-0072
Practice Address - Country:US
Practice Address - Phone:726-226-6440
Practice Address - Fax:726-226-6441
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-12
Last Update Date:2023-06-22
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Provider Licenses
StateLicense IDTaxonomies
PR18645207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine