Individual
DAIANA FERNANDEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1203 AVE MUNOZ RIVERA, VILLA MRILLASCA, PONCE, PR 00717-0634
(787) 843-4588
(787) 840-0907
Mailing address
PO BOX 7301, PONCE, PR 00732-7301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11087R
LA
208000000X
Pediatrics Physician
72131
FL
208000000X
Pediatrics Physician
Primary
9545
PR
208D00000X
General Practice Physician
11087R
LA
208D00000X
General Practice Physician
72131
FL
208D00000X
General Practice Physician
9545
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203741
PREFERRED HEALTH
—
01
—
3648
PREFERRED HEALTH CHOICE
—
01
—
3871
IMC
—
01
—
584041125
COSVI
—
01
—
83042
TRIPLE S
—
Enumeration date
11/15/2006
Last updated
03/15/2011
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