Healthcare Provider Details

I. General information

NPI: 1942132071
Provider Name (Legal Business Name): ANGELICA M DIAZ GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GATSBY PLAZA 30 CALLE PADIAL SUITE 206
CAGUAS PR
00725-3841
US

IV. Provider business mailing address

URB BORINQUEN VALLEY2 382 CALLE CAPUCHINO
CAGUAS PR
00725-9580
US

V. Phone/Fax

Practice location:
  • Phone: 787-337-2010
  • Fax:
Mailing address:
  • Phone: 787-337-2010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4728
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: