MIREYA M BOLO DIAZ M.D. NPI 1821321191

NPI Information

NPI: 1821321191
Provider Name: MIREYA M BOLO DIAZ, M.D.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
CARR. 891 KM. 15.2 BO. PUEBLO
COROZAL, PR
ZIP 00783
Phone: (787) 944-3337
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Mireya M Bolo Diaz, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Corozal, PR. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Mireya M Bolo Diaz, M.D. NPI is 1821321191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

CARR. 891 KM. 15.2 BO. PUEBLO
COROZAL, PR
ZIP 00783
Phone: (787) 944-3337
Fax: (787) 693-2010

The enumeration date for this NPI number is 9/17/2009 and was last updated on 9/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		18363	PUERTO RICO	No
2	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	18363	PUERTO RICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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