Provider Demographics
NPI:1144702390
Name:DIAZ-GOMEZ, DARLIN CELESTE (MD)
Entity type:Individual
Prefix:DR
First Name:DARLIN
Middle Name:CELESTE
Last Name:DIAZ-GOMEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2-2 PARKVILLE CT
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4751
Mailing Address - Country:US
Mailing Address - Phone:787-342-7504
Mailing Address - Fax:
Practice Address - Street 1:891 CALLE 49 SE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-2319
Practice Address - Country:US
Practice Address - Phone:787-232-0007
Practice Address - Fax:850-353-7180
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21085208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice