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Organization

IDV MEDICAL SERVICES

Active
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Organization

IDV MEDICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVYA DIAZ (MD)
(787) 745-0022
Entity
Organization

Contact information

Practice address
QUADRANGLE MEDICAL CENTER OFICINA 202, 50 AVE LUIS MUNOZ MARIN, CAGUAS, PR 00725
(787) 745-0022
(787) 286-8181
Mailing address
PO BOX 7617, CAGUAS, PR 00726-0000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
05/29/2019
Last updated
05/29/2019
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