Individual provider · Type 1 NPI

Fernando Diaz Gonzalez Colmenero, MD

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1316749526 Active

Practice location

Hsc T-10, Room 020G
Stony Brook, NY 11794-0001

Call (631) 444-3005 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1316749526

Fernando Diaz Gonzalez Colmenero, MD's National Provider Identifier is 1316749526, issued on Mar 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Mar 26, 2025.