Irismar Diaz
Individual provider Active NPI Physical Therapy Assistant · Patillas, PR
NPI 1760596332 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1760596332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1718 (PR)
- Practice address
- Car. 799 KM 0 HM 8 Bo. Cacao Bajo
Patillas, PR 00723 - Phone
- (787) 237-6526
- NPI assigned
- Aug 19, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1718 | PR | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1718 | PR | Yes |
Addresses
Primary practice location
Car. 799 KM 0 HM 8 Bo. Cacao Bajo
Patillas, PR 00723
Mailing address
Car. 799 KM 0 HM 8 Bo. Cacao Bajo
Patillas, PR 00723
Phone (787) 237-6526
Other providers in Patillas, PR
- Luz H. Del Valle
- Abdiel Israel Diaz - de Leon
- Emmanuel Diaz Rivera
- Christopher Diaz Vazquez
- Anibal Diaz
- Santiago Santiago Diaz
- Vanessa Diaz
- Nelson J Echandy Torres
- Enid Farmacia Santa Ana de Patillas Inc
- Esmeralda Health
All providers in Patillas, PR · Physical Therapy Assistant in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.