Provider Demographics
NPI:1679520639
Name:DIAZ, ANALID T (MD)
Entity Type:Individual
Prefix:DR
First Name:ANALID
Middle Name:T
Last Name:DIAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:URB.BELISA AVE. BORI
Mailing Address - Street 2:# 1542
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:787-274-9494
Mailing Address - Fax:787-274-9444
Practice Address - Street 1:URB. BELISA AVE.BORI
Practice Address - Street 2:# 1542
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-274-9494
Practice Address - Fax:787-274-9444
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR144232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry