Provider Demographics
NPI:1093065997
Name:BARBARA DIAZ HERNANDEZ MD RESEARCH INC
Entity Type:Organization
Organization Name:BARBARA DIAZ HERNANDEZ MD RESEARCH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIAZ-HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-523-9808
Mailing Address - Street 1:PO BOX 70250
Mailing Address - Street 2:PMB 263
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8250
Mailing Address - Country:US
Mailing Address - Phone:787-523-9808
Mailing Address - Fax:787-523-9131
Practice Address - Street 1:1704 PARANA BAJOS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-523-9808
Practice Address - Fax:787-523-9131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5690261QR1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch