Individual
LILLIAM M DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BO RINCON SECTOR LAS LOMAS CARR #14 KM 72-2, EDIFICIO PROFESIONAL HOSPITAL MENONITA, CAYEY, PR 00736
(787) 535-1001
Mailing address
100 CALLE MARGINAL APT 322, GUAYNABO, PR 00969-8415
(787) 646-3002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12104
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7360053
—
PR
Enumeration date
04/25/2006
Last updated
04/18/2024
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