Doctor Name: | DR. MARIBELIZ DIAZ |
NPI Number: | 1023242518 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 3216 |
Business Practice Address: | Carr. #2 Antigua Facilidad De Mepsi Center. Bayamon Bayamon, PR - 009607087 |
Business Phone Number: | 7877237676 |
Business Fax Number: | |
Mailing Address: | Po Box 607087 Bayamon Puerto Rico, BAYAMON |
State: | PR |
Postal Code: | 009607087 |
Phone Number: | 7877237676 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2009 |
NPI Last Update Date: | 05/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |