| Doctor Name: | DR. CAREM ROSA DIAZ |
| NPI Number: | 1043293251 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.M.D. |
| License Number: | D-2443 |
| Business Practice Address: | #51 San Jose Ave. Little Plaza Bldg., Suite #203 Aibonito, PR - 00705 |
| Business Phone Number: | 7877350575 |
| Business Fax Number: | |
| Mailing Address: | 370 10th St Andrea's Court, Apt 145 TRUJILLO ALTO |
| State: | PR |
| Postal Code: | 009767821 |
| Phone Number: | 7877617154 |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2005 |
| NPI Last Update Date: | 04/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | D-2443 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |