Provider Demographics
NPI:1447710504
Name:MONSALVE DIAZ, PEDRO FRANCISCO (MD)
Entity type:Individual
Prefix:
First Name:PEDRO
Middle Name:FRANCISCO
Last Name:MONSALVE DIAZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PEDRO
Other - Middle Name:
Other - Last Name:MONSALVE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7268 JARNIGAN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3097
Mailing Address - Country:US
Mailing Address - Phone:423-834-9383
Mailing Address - Fax:423-834-9384
Practice Address - Street 1:7268 JARNIGAN RD STE 200
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3097
Practice Address - Country:US
Practice Address - Phone:423-834-9383
Practice Address - Fax:423-834-9384
Is Sole Proprietor?:No
Enumeration Date:2019-03-23
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN74120207WX0107X
MN73561207W00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program