Individual
CARLOS ANTONIO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
IC 19 LOMAS VERDES AVE, BAYAMON, PR 00956-3116
(787) 798-5563
(787) 787-3524
Mailing address
IC 14 B LOMAS VERDES AVE, PMB 165, BAYAMON, PR 00956-3116
(787) 798-5563
(787) 787-3524
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8977
PR
207VX0000X
Obstetrics Physician
8977
PR
Other
Enumeration date
03/15/2007
Last updated
08/25/2017
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