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General NPI Number Information
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NPI Number | 1215869243
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Entity Type | Organization
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Legal Business Name | LD DIAZ MEDICAL LLC
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 1353 AVE LUIS VIGOREAUX STE 344
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City | GUAYNABO
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State | PR
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Zip | 00966-2715
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Country | US
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Telephone | 787-308-4223
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Fax |
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Provider Business Mailing Address
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Address Line | 404 CALLE REINA ISABEL
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City | GUAYNABO
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State | PR
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Zip | 00969-3342
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUZ D DIAZ GOMEZ
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Credential | MD
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Telephone | 787-308-4223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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