| Doctor Name: | DR. CARLOS S DIAZ BARCELO |
| NPI Number: | 1164726667 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 18116 |
| Business Practice Address: | 1130 S Semoran Blvd Orlando, FL - 328071457 |
| Business Phone Number: | 4073821376 |
| Business Fax Number: | 3212353232 |
| Mailing Address: | 121 S Orange Ave Ste 940, ORLANDO |
| State: | FL |
| Postal Code: | 328013234 |
| Phone Number: | 3213326947 |
| Fax Number: | 4076589688 |
| NPI Enumeration Date: | 12/27/2010 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 18116 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |