Provider Demographics
NPI:1093805244
Name:DIAZ-COLON, RALPH (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:
Last Name:DIAZ-COLON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0012
Mailing Address - Country:US
Mailing Address - Phone:787-884-8906
Mailing Address - Fax:787-884-2331
Practice Address - Street 1:DOCTORS' CENTER HOSPITAL
Practice Address - Street 2:PR 2, KM 41.7
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-0532
Practice Address - Country:US
Practice Address - Phone:787-621-3322
Practice Address - Fax:787-621-3364
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR80002080N0001X, 2080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Not Answered2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine