Amanda M Diaz Mendez

Individual provider Active NPI Pediatrics Physician · Gurabo, PR

NPI 1558032136 · NPPES record last updated Apr 16, 2026

Key facts

NPI
1558032136
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
37436 (PR)
Practice address
67 Plaza 7 Gran Vista 2
Gurabo, PR 00778
Phone
(787) 692-1243
NPI assigned
Sep 23, 2021
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37436PRMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 37436 PR Yes

Addresses

Primary practice location

67 Plaza 7 Gran Vista 2
Gurabo, PR 00778

Mailing address

67 Plaza 7 Gran Vista 2
Gurabo, PR 00778
Phone (787) 692-1243

Other providers in Gurabo, PR

All providers in Gurabo, PR · Pediatrics Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.