Provider Demographics
NPI:1144453317
Name:DIAZ-CORREA, LEYDA M (MD)
Entity type:Individual
Prefix:
First Name:LEYDA
Middle Name:M
Last Name:DIAZ-CORREA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6825
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6825
Mailing Address - Country:US
Mailing Address - Phone:787-743-0338
Mailing Address - Fax:787-745-8090
Practice Address - Street 1:14 AVE LUIS MUNOZ MARIN
Practice Address - Street 2:VILLA BLANCA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1922
Practice Address - Country:US
Practice Address - Phone:787-743-0338
Practice Address - Fax:787-745-8090
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2014-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR20817207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine