Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 8000 | PR |
N | 2080P0204X | Pediatric Emergency Doctor | 8000 | PR |
NPI | 1093805244 |
---|---|
Provider Name | Dr. Ralph Diaz-Colon |
First Address | Manati, PR 00674-0012 |
Second Address | Manati, PR 00674-0532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |