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Contact Information

CHAIMARIE DIAZ GONZALEZ
450 CALLE FERROCARRIL STE 102
PONCE, PR00717-4105
 Phone: 787-403-8711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CHAIMARIE DIAZ GONZALEZ

NPI # 1295345494
LBN Legal business name CHAIMARIE DIAZ GONZALEZ
Authorized official CHAIMARIE DIAZ GONZALEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/03/2020
Last updated 08/03/2020 - About 6 years ago
Identifiers
PR Medicaid 7815100001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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