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NPI Code Detail

MEDICARE: DR. ANALID T. DIAZ MD

MEDICARE: DR. ANALID T. DIAZ MD
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
12084P0800XPsychiatry Physician14423PR

General Provider Information

NPI Number : 1679520639
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANALID T. DIAZ MD
Provider Business Mailing Address
First Line : URB.BELISA AVE. BORI
Second Line : # 1542
City : SAN JUAN
State : PR
Zip : 00927
Country : US
Telephone Number : 787-274-9494
Fax Number : 787-274-9444
Provider Business Practice Location Address
First Line : URB. BELISA AVE.BORI
Second Line : # 1542
City : SAN JUAN
State : PR
Zip : 00927
Country : US
Telephone Number : 787-274-9494
Fax Number : 787-274-9444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 10/17/2011

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