| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MERVIN DE GUZMAN DIAZ | 1548876121 | 2024-05-12 |
Mervin De Guzman Diaz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548876121. Registration indicates Mervin De Guzman Diaz is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Mervin De Guzman Diaz MD |
| Practice Office Address | 550 SERGIO CUEVAS BUSTAMANTE SAN JUAN, PR US |
| Practice Office Telephone | 7877588383 |
| Mailing Address | I16 CALLE 9 JARDINES DE CEIBA CEIBA, PR 00735 US |
| Business Telephone | 7877182715 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 208D00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | 16952I
PR |