| Doctor Name: | MRS. IDABELLE DIAZ-GARCIA |
| NPI Number: | 1003258922 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 5418 |
| Business Practice Address: | 10 Calle Casia San Juan, PR - 009213200 |
| Business Phone Number: | 7876417582 |
| Business Fax Number: | |
| Mailing Address: | Cond Torres San Miguel, Carretera # 833 Apt. 1702 GUAYNABO |
| State: | PR |
| Postal Code: | 009693355 |
| Phone Number: | 7872325500 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2013 |
| NPI Last Update Date: | 07/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5418 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |