Individual
MRS. GERMARILIZ DIAZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
URB. MENDEZ #2, ISTITUTO PEDIATRICO OFICINA 5, YABUCOA, PR 00767
(787) 266-3128
Mailing address
B24 BDA. NUEVA, UTUADO, PR 00641
(787) 297-5732
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18794
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4539097
DRIVER LICENSE
PR
Enumeration date
06/26/2014
Last updated
06/26/2014
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