MEDICARE: DR. EDUARDO MANUEL DIAZ FIGUEROA M.D.

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	208D00000X	General Practice Physician	17708	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275868887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDUARDO MANUEL DIAZ FIGUEROA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 78
Second Line	:
City	:	MERCEDITA
State	:	PR
Zip	:	00715
Country	:	US
Telephone Number	:	787-651-6673
Fax Number	:	787-651-6519

Provider Business Practice Location Address
First Line	:	2931 AVE EMILIO FAGOT STE A
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00716-3613
Country	:	US
Telephone Number	:	787-651-6673
Fax Number	:	787-651-6519

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

Provider Enumeration Date	:	10/15/2009
Last Update Date	:	01/13/2020

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