Provider Demographics
NPI:1407969108
Name:DIAZ GIERBOLINI, ADRIA TERESA (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIA
Middle Name:TERESA
Last Name:DIAZ GIERBOLINI
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:URB. LA RIVIERA CALLE 3 SE #1051 COND MEDICAL CENTER
Mailing Address - Street 2:PLAZA APT. #405
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921
Mailing Address - Country:US
Mailing Address - Phone:787-225-1160
Mailing Address - Fax:787-272-3120
Practice Address - Street 1:URB. LA RIVIERA CALLE 3 SE #1051 COND MEDICAL CENTER
Practice Address - Street 2:PLAZA APT. #405
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-225-1160
Practice Address - Fax:787-272-3120
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR15090208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI16787Medicare UPIN