Ivette Diaz, MSW | |
2020 Ave Borinquen, San Juan, PR 00915-3822 | |
(787) 268-4171 | |
Not Available |
Full Name | Ivette Diaz |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2020 Ave Borinquen, San Juan, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053961680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4932 (Puerto Rico) | Primary |
Entity Name | Hpm Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316167661 PECOS PAC ID: 3870629579 Enrollment ID: O20100406000251 |
Mailing Address | Practice Location Address |
---|---|
Ivette Diaz, MSW Po Box 14457, San Juan, PR 00916-3822 Ph: (787) 268-4171 | Ivette Diaz, MSW 2020 Ave Borinquen, San Juan, PR 00915-3822 Ph: (787) 268-4171 |
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