Individual provider · Type 1 NPI

Rosalio L. Diaz

Private Vehicle · Roberts, ID

NPI number 1013223718 Active

Practice location

644 North 2865 East
Roberts, ID 83444-0108

Mailing address

PO Box 108
Roberts, ID 83444-0108

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XXA151417I (ID)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

About NPI 1013223718

Rosalio L. Diaz's National Provider Identifier is 1013223718, issued on Aug 19, 2010. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Roberts, ID. The record was last updated on Aug 19, 2010.