Individual
MISS TANIA IVETTE DIAZ ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CII MOLINILLO, FERNANDEZ JUNCOS AVENUE BO. PUEBLO, CAROLINA, PR 00985-0098
(787) 626-3322
Mailing address
URB. CASTELLANA GARDENS C/30 GG8, CAROLINA, PR 00983
(787) 550-4055
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22152
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2017
Last updated
02/23/2021
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