Basic Information
Provider Information
NPI: 1336259019
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DIAZ-RAMIREZ
FirstName: DIANA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 365067
Address2: DEPT OF PSYCHIATRY - UNIVERSITY OF PR - MED SCI CAMPUS
City: SAN JUAN
State: PR
PostalCode: 009265067
CountryCode: US
TelephoneNumber: 7877654047
FaxNumber: 7877660940
Practice Location
Address1: HOSPITAL UPR CAROLINA
Address2: AVE. 65 DE INFANTERIA
City: CAROLINA
State: PR
PostalCode: 009845067
CountryCode: US
TelephoneNumber: 7877654047
FaxNumber: 7877660940
Other Information
ProviderEnumerationDate: 08/30/2006
LastUpdateDate: 04/03/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X12478PRY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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