Doctor Name: | MR. EMILIO DIAZ |
NPI Number: | 1184816399 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MT |
License Number: | 5043 |
Business Practice Address: | S15 Calle Lealtad Levittown Sta Toa Baja, PR - 009494611 |
Business Phone Number: | 7877840813 |
Business Fax Number: | 7877955330 |
Mailing Address: | Po Box 50384, TOA BAJA |
State: | PR |
Postal Code: | 009500384 |
Phone Number: | 7877840813 |
Fax Number: | 7877955330 |
NPI Enumeration Date: | 08/11/2007 |
NPI Last Update Date: | 08/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | 5043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |