Provider Demographics
NPI:1013936939
Name:GAONA, DIANA PILAR (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:PILAR
Last Name:GAONA
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 1:2321 CALLE UNIVERSIDAD APT.1203
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717
Mailing Address - Country:US
Mailing Address - Phone:787-688-3116
Mailing Address - Fax:
Practice Address - Street 1:2321 CALLE UNIVERSIDAD
Practice Address - Street 2:1203
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0712
Practice Address - Country:US
Practice Address - Phone:787-688-3116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15152208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice