Dr. Maritza I Diaz, dmd
Dentist in Manassas Park, VA. Individual provider (NPI-1).
NPI number1861591968
StatusActive
Last updated in NPPESJun 15, 2021
Details
- NPI
- 1861591968
- Entity type
- Individual (NPI-1)
- Name
- Dr. Maritza I Diaz
- Credential
- dmd
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2006
- Certification date
- Jun 15, 2021
- Last updated
- Jun 15, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0401411863 | VA | Yes |
Practice location
9110 Railroad Dr Ste 201Manassas Park, VA 20111-7041
Phone 703-365-0230
Mailing address
9172 Laurel Highlands PlManassas, VA 20112-5857
Phone 787-557-2704 · Fax 787-720-7895
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