Provider Demographics
NPI:1710189402
Name:DIAZ NEGRON, ZULEIKA (MD FACS)
Entity Type:Individual
Prefix:DR
First Name:ZULEIKA
Middle Name:
Last Name:DIAZ NEGRON
Suffix:
Gender:F
Credentials:MD FACS
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Mailing Address - Street 1:909 AVE TITO CASTRO
Mailing Address - Street 2:TORRE MEDICA SAN LUCAS SUITE 502
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-4728
Mailing Address - Country:US
Mailing Address - Phone:787-651-3888
Mailing Address - Fax:787-651-7325
Practice Address - Street 1:909 AVE TITO CASTRO
Practice Address - Street 2:TORRE MEDICA SAN LUCAS SUITE 502
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-4728
Practice Address - Country:US
Practice Address - Phone:787-651-3888
Practice Address - Fax:787-651-7325
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR15945208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery