# CLINICA DIAZ PSC

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

## Provider details

- **NPI number:** 1992906275
- **Authorized official:** MRS. NADJA DIAZ BAEZ MD (PRESIDENTE)
- **Authorized official phone:** (787) 840-1053

## Contact information

- **Practice address:** 7813 NAZARET URB SANTA MARIA, PONCE, PR 00717-1006
- **Practice address phone:** (787) 840-1053
- **Practice address fax:** (787) 842-6525
- **Mailing address:** 7813 NAZARET URB SANTA MARIA, PONCE, PR 00717-1006
- **Mailing address phone:** (787) 840-1053
- **Mailing address fax:** (787) 842-6525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 12997 | PR | Yes |
| 208D00000X | General Practice Physician | 14444 | PR | — |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 10/06/2023
