Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ivette T. Diaz, PA

Individual provider Physician Assistant · NPI 1972314003

Ivette T. Diaz, PA is a Physician Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2242 W Wethersfield Rd
Phoenix, AZ 85029-2713
Phone: (623) 806-2831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2350-P.A. (PR)

Record details

NPI number1972314003
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 17, 2025
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025

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