Individual
DR. GILDA DIAZ-FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1770 GRAND CONCOURSE, 2G, BRONX, NY 10457-5524
(718) 518-5581
(718) 299-1877
Mailing address
PO BOX 1786, BRONX, NY 10451-1786
(718) 901-8154
(718) 901-8151
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
201175
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01613950
—
NY
Enumeration date
06/08/2006
Last updated
07/08/2007
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