Provider Demographics
NPI:1457461121
Name:DIAZ-GARCIA, DILIA (MD FACE)
Entity Type:Individual
Prefix:MRS
First Name:DILIA
Middle Name:
Last Name:DIAZ-GARCIA
Suffix:
Gender:F
Credentials:MD FACE
Other - Prefix:
Other - First Name:DILIA
Other - Middle Name:
Other - Last Name:DIAZ-GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD FACE
Mailing Address - Street 1:29 CALLE WASHINGTON
Mailing Address - Street 2:SUITE 307
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1510
Mailing Address - Country:US
Mailing Address - Phone:787-725-8905
Mailing Address - Fax:787-723-8011
Practice Address - Street 1:29 CALLE WASHINGTON
Practice Address - Street 2:SUITE 307 ASHFORD MEDICAL CENTER
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1510
Practice Address - Country:US
Practice Address - Phone:787-725-8905
Practice Address - Fax:787-723-8011
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6861207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
C77664Medicare UPIN