| Doctor Name: | TANIA ANDREA HOTESSE DIAZ |
| NPI Number: | 1235240789 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 4928 |
| Business Practice Address: | 51 Calle Gautier Benitez Arecibo, PR - 006124418 |
| Business Phone Number: | 7878801020 |
| Business Fax Number: | 7878801010 |
| Mailing Address: | Po Box 846, ARECIBO |
| State: | PR |
| Postal Code: | 006130846 |
| Phone Number: | 7878801020 |
| Fax Number: | 7878801010 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 05/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4928 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |