Healthcare Provider Details

I. General information

NPI: 1073425385
Provider Name (Legal Business Name): DPD PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 129 KM 3.0 BO HATO ARRIBA
ARECIBO PR
00612
US

IV. Provider business mailing address

MQ37 PLAZA 38
BAYAMON PR
00961-3578
US

V. Phone/Fax

Practice location:
  • Phone: 787-880-3843
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DALIMAR PANELL DIAZ
Title or Position: MD
Credential: MD
Phone: 787-880-3843