Individual
DR. CLARA REYES DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CARR 2 KM 31.9, BO. BAJURA, VEGA ALTA, PR 00692
(787) 883-0124
(787) 883-7645
Mailing address
E30 CAMINIO DE BEGONIA, ENRAMADA, BAYAMON, PR 00961
(787) 784-2751
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6920
PR
2080P0207X
Pediatric Hematology & Oncology Physician
6920
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28808
IPA
PR
Enumeration date
10/25/2006
Last updated
12/13/2013
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