Individual
DIANA DE LA PAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 DR.CUETO ST, UTUADO, PR 00641-1390
(787) 814-0683
(787) 894-8860
Mailing address
PO BOX 1390, UTUADO, PR 00641-1390
(787) 814-4521
(787) 814-4504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8478
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33165-5052
PROSAM PLAN
PR
01
—
81316 DE
TRIPLE SSS HEALTH PLAN
PR
01
—
9500018
HUMANA HEALTH PLAN
PR
Enumeration date
06/16/2005
Last updated
07/31/2019
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