MEDICARE: DR. NORIS MARIE DIAZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	16388	PR

General Provider Information

NPI Number	:	1235160953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORIS MARIE DIAZ

Provider Business Mailing Address
First Line	:	I68 CALLE 6
Second Line	:	LAS MERCEDES
City	:	LAS PIEDRAS
State	:	PR
Zip	:	00771-3302
Country	:	US
Telephone Number	:	787-360-8674
Fax Number	:

Provider Business Practice Location Address
First Line	:	I68 CALLE 6
Second Line	:
City	:	LAS PIEDRAS
State	:	PR
Zip	:	00771-3302
Country	:	US
Telephone Number	:	787-360-8674
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. NORIS MARIE DIAZ ” Practice Location

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