Provider Demographics
NPI:1104182013
Name:DIAZ - ADAMES, MILCA NATALIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MILCA
Middle Name:NATALIA
Last Name:DIAZ - ADAMES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 E 202ND ST
Mailing Address - Street 2:APT # LC
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-1626
Mailing Address - Country:US
Mailing Address - Phone:718-933-4506
Mailing Address - Fax:
Practice Address - Street 1:253 EAST 202 ST.
Practice Address - Street 2:APT # LC
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458
Practice Address - Country:US
Practice Address - Phone:718-933-4506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY499339163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse