Provider Demographics
NPI:1497560742
Name:DIAZ MOLINA, JOSE YADIEL (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:YADIEL
Last Name:DIAZ MOLINA
Suffix:
Gender:M
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:HC 3 BOX 20769
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-8238
Mailing Address - Country:US
Mailing Address - Phone:939-273-8138
Mailing Address - Fax:
Practice Address - Street 1:CARRT 129 K 34.4 CUCHI CAMPO ALEGRE
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:939-273-8138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program