# E. DIAZ DEL VALLE MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316359573
- **Authorized official:** MR. EDUARDO DIAZ- DEL VALLE MD (PRESIDENT)
- **Authorized official phone:** (787) 744-9787

## Contact information

- **Practice address:** C 4 AVENIDA GAUTIER BENITEZ, CONSOLIDATED MALL, CAGUAS, PR 00725
- **Practice address phone:** (787) 744-9787
- **Practice address fax:** (787) 744-9787
- **Mailing address:** PO BOX 8398, CAGUAS, PR 00726-8398
- **Mailing address phone:** (787) 744-9787
- **Mailing address fax:** (787) 744-9787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2014
- **Last updated:** 05/22/2014