Individual provider · Type 1 NPI
Gloria Luz Diaz-Lopez, MD
Specialist · Ponce, PR
NPI number
1720276173
Active
Practice location
Paseo Campina, Villas De Monte Verde #3
Ponce, PR 00732
Fax (787) 259-0889
Mailing address
PO Box 330190
Ponce, PR 00733-0190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 6492 (PR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1720276173
Gloria Luz Diaz-Lopez, MD's National Provider Identifier is 1720276173, issued on Oct 11, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ponce, PR. The record was last updated on Oct 11, 2007.