Provider Demographics
NPI:1568434850
Name:PADRO- DIAZ, ANA A (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:A
Last Name:PADRO- DIAZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1520 CALLE EMPERATRIZ
Mailing Address - Street 2:URB VALLE REAL
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-0502
Mailing Address - Country:US
Mailing Address - Phone:787-840-8545
Mailing Address - Fax:787-840-8545
Practice Address - Street 1:1121 AVE MUNOZ RIVERA
Practice Address - Street 2:URB VILLA GRILLASCA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0635
Practice Address - Country:US
Practice Address - Phone:787-840-8545
Practice Address - Fax:787-840-8545
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2023-12-13
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Provider Licenses
StateLicense IDTaxonomies
PR6488207QG0300X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
066362OtherCRUZ AZUL
212047OtherPREFERRED HEALTH
98510PAOtherTRIPLE S
1634OtherAMERICAN HEALTH INC
PE2525OtherPAN AMERICAN LIFE
2460OtherREMEDIC
7330002OtherHUMANA HEALTH INSURANCE
2844OtherIMC
436488OtherUIA
6488OtherCIGNA
98510PAOtherTRICARE
98510PAOtherTRIPLE S
C78233Medicare UPIN