Dr. Jesus R Sierra Diaz
General Practice Physician
Calle Parque #32 Suite 3-A
Bayamon
, Puerto Rico 00959
Dr. Jesus R Sierra Diaz
General Practice Physician
Calle Parque #32 Suite 3-A
Bayamon
, Puerto Rico 00959
(787) 778-8637
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Jesus R Sierra Diaz
- Q12 Calle 11 Urb Sierra Lind
- Bayamon, PR
- Zip : 00957-2126
- Fax : (787) 778-8637
- Phone : (787) 778-8637
Second Address
- Dr. Jesus R Sierra Diaz
- Calle Parque #32 Suite 3-A
- Bayamon, PR
- Zip : 00959
- Fax : (787) 778-8637
- Phone : (787) 778-8637
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 12560 | PR |
National Provider Identifier
| NPI | 1023083128 |
|---|---|
| Provider Name | Dr. Jesus R Sierra Diaz |
| First Address | Bayamon, PR 00957-2126 |
| Second Address | Bayamon, PR 00959 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2006 |
| Last Update Date | 16/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 87372 | (02) | PR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.