Provider Demographics
NPI:1104000884
Name:CAPRILES DIAZ, DANIELA J (MD)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:J
Last Name:CAPRILES DIAZ
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Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:131 OLD ROAD TO NINE ACRE CORNER, JOHN CUMING BUILDING
Mailing Address - Street 2:SUITE 640
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742
Mailing Address - Country:US
Mailing Address - Phone:978-317-0796
Mailing Address - Fax:508-363-5430
Practice Address - Street 1:131 OLD ROAD TO NINE ACRE CORNER, JOHN CUMING BUILDING
Practice Address - Street 2:SUITE 640
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742
Practice Address - Country:US
Practice Address - Phone:978-317-0796
Practice Address - Fax:508-363-5430
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2020-06-26
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA234329207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine