| Mdd Child Neurology Llc | |
|
1845 Bayamon Medical Plaza Carr 2 Suite 910 Bayamon PR 00959 | |
| (787) 400-8452 | |
| Not Available |
| Full Name | Mdd Child Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 1845 Bayamon Medical Plaza Carr 2, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Mayela Diaz Diaz (MD PRESIDENT) |
| Authorized Official Contact | 7874008452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdd Child Neurology Llc Urb Las Colinas M-4 Colinas Buena Vista Toa Baja PR 00949 Ph: (787) 400-8452 | Mdd Child Neurology Llc 1845 Bayamon Medical Plaza Carr 2 Suite 910 Bayamon PR 00959 Ph: (787) 400-8452 |
| NPI Number | 1891414793 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891414793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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