Mireya M Bolo Diaz, MD is a
Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology physician based in Corozal, Puerto Rico. Mireya M Bolo Diaz is licensed to practice in Puerto Rico (license number 18363) and her current practice location is Carr. 891 Km. 15.2 Bo. Pueblo, Corozal, Puerto Rico. She can be reached at her office (for appointments etc.) via phone at
(787) 944-3337.
NPI number for Mireya M Bolo Diaz is 1821321191 and her current mailing address is Po Box 1838, Corozal, Puerto Rico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821321191.
Physician's Profile
| Full Name | Mireya M Bolo Diaz |
|---|
| Gender | Female |
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| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
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| Location | Carr. 891 Km. 15.2 Bo. Pueblo, Corozal, Puerto Rico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821321191
- Provider Enumeration Date: 09/17/2009
- Last Update Date: 09/14/2020
Medical Identifiers
Medical identifiers for Mireya M Bolo Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821321191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 18363 (Puerto Rico) | Secondary |
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 18363 (Puerto Rico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mireya M Bolo Diaz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mireya M Bolo Diaz, MD
Po Box 1838,
Corozal, PR 00783-1838
Ph: () - | Mireya M Bolo Diaz, MD
Carr. 891 Km. 15.2 Bo. Pueblo,
Corozal, PR 00783
Ph: (787) 944-3337 |
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