Doctor Name: | ANGEL E. DIAZ SERRANO |
NPI Number: | 1184693772 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 14419 |
Business Practice Address: | Ave. Migue Melendez Munoz Num. 60 A Cayey, PR - 007360000 |
Business Phone Number: | 7872639944 |
Business Fax Number: | 7872639944 |
Mailing Address: | Hc 4 Box 44374, CAGUAS |
State: | PR |
Postal Code: | 007279621 |
Phone Number: | 7872639944 |
Fax Number: | 7872639944 |
NPI Enumeration Date: | 03/16/2006 |
NPI Last Update Date: | 12/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14419 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |