IndividualActive
Gustavo Diaz, M.D.
NPI 1164599825 · Facial Plastic Surgery Physician · Fairhope, AL
Provider details
- NPI number
- 1164599825
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25353 (AL)
Practice location
411 N Section St Ste 5
Fairhope, AL 36532-2650
Phone: (251) 517-5050
Fax: (251) 517-5049
Mailing address
17026 Carlton Way Rd
Huntersville, NC 28078
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2019-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.