| Doctor Name: | LILLIAM M DIAZ |
| NPI Number: | 1053377523 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 12104 |
| Business Practice Address: | Bo Rincon Sector Las Lomas Carr #14 Km 72-2 Edificio Profesional Hospital Menonita Cayey, PR - 00736 |
| Business Phone Number: | 7872630644 |
| Business Fax Number: | 7875351024 |
| Mailing Address: | 1507 Ave Ponce De Leon, Pmb 859 SAN JUAN |
| State: | PR |
| Postal Code: | 009091750 |
| Phone Number: | 7872630644 |
| Fax Number: | 7875351024 |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 11/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 12104 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |