Organization
MDD CHILD NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYELA DIAZ DIAZ MD (MD PRESIDENT)
(787) 400-8452
Entity
Organization
Contact information
Practice address
1845 BAYAMON MEDICAL PLAZA CARR 2, SUITE 910, BAYAMON, PR 00959
(787) 400-8452
Mailing address
URB LAS COLINAS, M-4 COLINAS BUENA VISTA, TOA BAJA, PR 00949
(787) 400-8452
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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