Individual
VERONICA CRISTINA DIAZ VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 AVE DOMENECH STE 408, SAN JUAN, PR 00918-3706
(787) 622-2012
Mailing address
94 RAMAL 842, APT 127, SAN JUAN, PR 00926-3908
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
22090
PR
208000000X
Pediatrics Physician
22090
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2016
Last updated
01/06/2025
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