Carmen Lourdes Diaz, RN

Individual provider Active NPI Attendant Care Provider · Orocovis, PR

NPI 1003117102 · NPPES record last updated Aug 7, 2020

Key facts

NPI
1003117102
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
RR 1 Box 10861
Sabana Ward
Orocovis, PR 00720-9677
Phone
(787) 516-8175
NPI assigned
Nov 5, 2010
Reactivated
Aug 5, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

RR 1 Box 10861
Sabana Ward
Orocovis, PR 00720-9677

Mailing address

RR 1 Box 10861
Orocovis, PR 00720-9677
Phone (787) 516-8175

Other providers in Orocovis, PR

All providers in Orocovis, PR · Attendant Care Provider in Puerto Rico

Sources for this page

Verify at the official NPI Registry.