Provider Demographics
NPI:1477577096
Name:RENTAS-DIAZ, ERIKA ZAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:ZAIL
Last Name:RENTAS-DIAZ
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:CALLE CIELO DORADO 68
Mailing Address - Street 2:URB CIALO DORADO VILLAGE
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00692-0001
Mailing Address - Country:US
Mailing Address - Phone:787-638-6541
Mailing Address - Fax:
Practice Address - Street 1:CALLE CIELO DORADO 68
Practice Address - Street 2:URB CIALO DORADO VILLAGE
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00692-0001
Practice Address - Country:US
Practice Address - Phone:787-638-6541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0015252208D00000X
PR15252207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Not Answered207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2011184OtherPREFERRED HEALTH
PR500432EOtherMEDICARE Y MUCHO MAS
PR22306OtherTRIPLE S
PR9090175OtherHUMANA HEALTH
PRI04526Medicare UPIN
PR22306OtherTRIPLE S