| Michelle N. Dizon, M.d., P.c. | |
|
4500 Island Medical Center St. Croix VI 00820 | |
| (370) 778-5780 | |
| (340) 713-1870 |
| Full Name | Michelle N. Dizon, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4500 Island Medical Center, St. Croix, Virgin Island |
| Authorized Official Name and Position | Michelle N. Dizon (PHYSICIAN) |
| Authorized Official Contact | 3407785780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle N. Dizon, M.d., P.c. 4500 Island Medical Center St. Croix VI 00820 Ph: (370) 778-5780 | Michelle N. Dizon, M.d., P.c. 4500 Island Medical Center St. Croix VI 00820 Ph: (370) 778-5780 |
| NPI Number | 1386762474 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 09/24/2008 |
| Medicare PECOS PAC ID | 9830262443 |
|---|---|
| Medicare Enrollment ID | O20080715000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386762474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 1192 (Virgin Island) | Primary |
| Provider Name | Michelle Dizon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700809670 PECOS PAC ID: 7315913043 Enrollment ID: I20040903000641 |
| Provider Name | Giselle Evora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699821793 PECOS PAC ID: 9335228949 Enrollment ID: I20161103000808 |