Provider Demographics
NPI:1235160953
Name:DIAZ, NORIS MARIE
Entity Type:Individual
Prefix:DR
First Name:NORIS
Middle Name:MARIE
Last Name:DIAZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:I68 CALLE 6
Mailing Address - Street 2:LAS MERCEDES
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-3302
Mailing Address - Country:US
Mailing Address - Phone:787-360-8674
Mailing Address - Fax:
Practice Address - Street 1:I68 CALLE 6
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-3302
Practice Address - Country:US
Practice Address - Phone:787-360-8674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16388207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine