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NPI Code Detail

MEDICARE: ROSALYN DIAZ M.D.

MEDICARE:   ROSALYN  DIAZ  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
12080P0206XPediatric Gastroenterology Physician14831PR

General Provider Information

NPI Number : 1366632093
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSALYN DIAZ M.D.
Provider Business Mailing Address
First Line : 684 CALLE MERIDA
Second Line : VENUS GARDENS
City : SAN JUAN
State : PR
Zip : 00926-4613
Country : US
Telephone Number : 302-547-9648
Fax Number :
Provider Business Practice Location Address
First Line : 684 CALLE MERIDA
Second Line : VENUS GARDENS
City : SAN JUAN
State : PR
Zip : 00926-4613
Country : US
Telephone Number : 302-547-9648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2007
Last Update Date : 02/25/2009

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Directions to “ ROSALYN DIAZ M.D.” Practice Location

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