Most Relevant Information
Provider Data
| NPI Number: | 1003454273 |
| Provider Name: | LILLYBETH DIAZ VALEDON PHYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 6482 |
Most Important Dates
| Enumeration Date: | 12/18/2019 |
| Last Updated: | 12/18/2019 |
Provider Practice Location
BO TIERRAS NUEVAS
MANATI
PR
00674
Practice Location Phone/Fax
| Phone: | 7876383268 |
| Fax: |
Provider Mailing Location
PO BOX 1486
MANATI
PR
006741486
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |