Provider Demographics
NPI:1598461659
Name:DIAZ, AMBAR ROSINNA
Entity Type:Individual
Prefix:MRS
First Name:AMBAR
Middle Name:ROSINNA
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 1:589 PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3109
Mailing Address - Country:US
Mailing Address - Phone:347-932-8052
Mailing Address - Fax:
Practice Address - Street 1:589 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3109
Practice Address - Country:US
Practice Address - Phone:347-932-8052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula