Individual
DR. MARIELA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
PO BOX 3388, LAJAS, PR 00667-3388
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18955
PR
Other
Enumeration date
05/09/2011
Last updated
12/10/2014
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