# MGDP INFECTOLOGIST LLC

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

## Provider details

- **NPI number:** 1992626121
- **Authorized official:** MARIE GLORIA DIAZ MD (INFECTOLOGIST)
- **Authorized official phone:** (787) 612-6334

## Contact information

- **Practice address:** 600 CARR 2 STE 6, MANATI, PR 00674-5399
- **Practice address phone:** (787) 612-6334
- **Mailing address:** 600 CARR 2 STE 6, MANATI, PR 00674-5399
- **Mailing address phone:** (787) 612-6334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2026
- **Last updated:** 07/23/2026
