Individual
KARELYS DIAZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2821 MICHEALANGELO, STE 102, EDINBURG, TX 78539-1411
(956) 686-6100
Mailing address
2821 MICHEALANGELO, STE 102, EDINBURG, TX 78539-1411
(956) 686-6100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M8956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2928665
—
TX
Enumeration date
10/19/2007
Last updated
06/19/2012
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