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Organization
E.DIAZ DEL VALLE, MD, LLC
Active
Organization
E.DIAZ DEL VALLE, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA SANCHEZ (ADMINISTRATOR)
(787) 744-9787
Entity
Organization
Contact information
Practice address
CONSOLIDATED MALL C 4, AVE GAUTIER BENITEZ, CAGUAS, PR 00725
(787) 744-9787
(787) 744-9787
Mailing address
CONSOLIDATED MALL C 4, AVE GAUTIER BENITEZ, CAGUAS, PR 00725
(787) 744-9787
(787) 744-9787
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
7077
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11511
AMERICAN HEALTH
PR
01
—
3977
PREFERED MEDICARE CHOICE
PR
01
—
500210SE
MEDICARE Y MUCHO MAS
PR
01
—
8667
INTERNATIONAL MEDICAL CARD
PR
Enumeration date
02/06/2012
Last updated
02/06/2012
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