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Individual

MIRIAM M PADILLA DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
917 AVE. TITO CASTRO, TORRE MEDICA SAN LUCAS STE 701, PONCE, PR 00716-4717
(787) 290-5577
Mailing address
410 AVE HOSTOS, MAYAGUEZ, PR 00682-1560

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35258
PR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
22683
PR
390200000X
Student in an Organized Health Care Education/Training Program
14750-I
PR
390200000X
Student in an Organized Health Care Education/Training Program
35258
PR

Other

Enumeration date
06/18/2018
Last updated
10/22/2024
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