Provider Demographics
NPI:1215185343
Name:EGOZCUE-DIONISI, MONICA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:MARIA
Last Name:EGOZCUE-DIONISI
Suffix:
Gender:F
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 2199
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-2199
Mailing Address - Country:US
Mailing Address - Phone:787-370-4110
Mailing Address - Fax:
Practice Address - Street 1:410 AVE HOSTOS STE 112N
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1560
Practice Address - Country:US
Practice Address - Phone:787-689-4334
Practice Address - Fax:787-652-1694
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17292207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease