Gonzalez-Diez Otolaryngology Psc

NPI #1992781116 in Arecibo, Puerto Rico

Provider Information

NPI Number: 1992781116
Entity Type: Organization
Organization Name: Gonzalez-Diez Otolaryngology Psc
Primary Specialty: Otolaryngology
Enumeration Date: Dec 20, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 540 AVE MIRAMAR
Address 2: SUITE 3
City: Arecibo
State: Puerto Rico
ZIP Code: 00612-4364
Phone: (787) 880-5031

Authorized Official

Name: MARIANO ENRIQUE GONZALEZ-DIEZ, MD
Title: PRESIDENT
Phone: (787) 880-5031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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