Healthcare Provider Details

I. General information

NPI: 1467975227
Provider Name (Legal Business Name): NATALIA ADRIANA DIAZ TORRES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2017
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9131 PISCATAWAY RD STE 450
CLINTON MD
20735-2543
US

IV. Provider business mailing address

I2 CALLE CARLOS I
GUAYNABO PR
00969-5265
US

V. Phone/Fax

Practice location:
  • Phone: 301-868-6700
  • Fax:
Mailing address:
  • Phone: 787-920-4047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101278660
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberD0106816
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: