Organization
JUANA DIAZ MEDICAL GROUP INC
Active
Other names
Juana Diaz Medical Group INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA TERESA GARCIA M.D (PRESIDENTE)
(787) 837-3530
Entity
Organization
Contact information
Practice address
CALLE DEGETAU ESQUINA, MUNOZ RIVERA #45, JUANA DIAZ, PR 00795-0378
(787) 837-3530
(787) 837-3382
Mailing address
PO BOX 378, JUANA DIAZ, PR 00795-0378
(787) 837-3530
(787) 837-3382
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
5253
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087886
MEDICARE PROVIDER NUMBER
PR
Enumeration date
05/01/2006
Last updated
03/13/2009
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