Individual provider · Type 1 NPI

Leonardo Jose Diaz Gandica, MD

Student in an Organized Health Care Education/Training Program · Greenville, NC

NPI number 1003659269 Active

Practice location

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Call (252) 744-5291 Map

Fax (252) 744-0013

Mailing address

105 W Victoria Ct Apt A
Greenville, NC 27834-7639

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRTL25-1042 (NC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003659269

Leonardo Jose Diaz Gandica, MD's National Provider Identifier is 1003659269, issued on Jun 17, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greenville, NC. The record was last updated on Jul 7, 2025.