National Provider Identifier

Tristan Javier Diaz, MD

Tristan Javier Diaz, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-2723.

NPI 1598567786Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1598567786
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 26, 2025
Last Updated
March 26, 2025

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-2723

Mailing Address

  • 300 Dunnwood Green Ln Apt 210
  • Pittsford, NY 14534-1776

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1598567786
Entity Type
Individual
Last Name
Diaz
First Name
Tristan
Middle Name
Javier
Name Prefix
Dr.
Credential
MD
Mailing Street Address
300 Dunnwood Green Ln Apt 210
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-1776
Mailing Country
US
Mailing Phone
(480) 652-6008
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2723
Enumeration Date
March 26, 2025
Last Updated
March 26, 2025
Sex
Male
Sole Proprietor
No
Certification Date
March 26, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)