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NPI Code Detail

MEDICARE: MISS RITA MARIA DIAZ MD FAAAA&I

MEDICARE: MISS RITA MARIA DIAZ MD FAAAA&I
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
12080P0201XPediatric Allergy/Immunology Physician3758PR

General Provider Information

NPI Number : 1548241052
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS RITA MARIA DIAZ MD FAAAA&I
Provider Business Mailing Address
First Line : 568-B JUAN J JIMENEZ
Second Line :
City : SAN JUAN
State : PR
Zip : 00919
Country : US
Telephone Number : 787-763-8939
Fax Number : 787-765-4418
Provider Business Practice Location Address
First Line : 568-B JUAN J JIMENEZ
Second Line :
City : SAN JUAN
State : PR
Zip : 00919
Country : US
Telephone Number : 787-763-8939
Fax Number : 787-765-4418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 07/08/2007

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Directions to “ MISS RITA MARIA DIAZ MD FAAAA&I” Practice Location

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