Individual
HENRY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CALLE MARIO BRACHI NUM 9, COAMO, PR 00769-0000
(787) 803-3636
(787) 825-4968
Mailing address
PO BOX 2156, COAMO, PR 00769-2156
(787) 841-0525
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12894
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061763
CRUZ AZUL DE PUERTO RICO
PR
01
—
20481
TRIPLE S
PR
01
—
212645
PREFERRED HEALTH
PR
01
—
38385
PROSSAM
PR
01
—
4512894
UIA
PR
01
—
600865
MEDICARE Y MUCHO MAS
PR
01
—
7690016
HUMANA INSURANCE
PR
01
—
7789
FIRST MEDICAL
PR
01
—
M000396
PLAN MENONITA
PR
01
—
P00103108
PALMETTO
PR
01
—
PE4134
PALIC PROVIDER
PR
Enumeration date
05/23/2006
Last updated
10/30/2023
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