Most Relevant Information
Provider Data
| NPI Number: | 1003258922 |
| Provider Name: | IDABELLE DIAZ-GARCIA PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 5418 |
Most Important Dates
| Enumeration Date: | 07/19/2013 |
| Last Updated: | 07/19/2013 |
Provider Practice Location
10 CALLE CASIA
SAN JUAN
PR
009213200
Practice Location Phone/Fax
| Phone: | 7876417582 |
| Fax: |
Provider Mailing Location
COND TORRES SAN MIGUEL
CARRETERA # 833 APT. 1702
GUAYNABO
PR
009693355
Provider Mailing Phone/Fax
| Phone: | 7872325500 |
| Fax: |