Active NPIIndividual providerSole proprietor

Mireya M Bolo Diaz, MD

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Corozal, Puerto Rico

NPI Number1821321191
Practice location
Carr. 891, Km. 1.4, Bo. Pueblo, Corozal, PR 00783-2441
Fax
787-699-0039
Last updated
March 11, 2025

Mireya M Bolo Diaz is a Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology based in Corozal, PR. Mireya M Bolo Diaz practices in Corozal, PR and has the professional credentials of MD. The NPI Number for Mireya M Bolo Diaz is 1821321191 and holds a License No. 18363 (PR). The current practice location address for Mireya M Bolo Diaz is Carr. 891, Km. 1.4, Bo. Pueblo, Corozal, PR 00783-2441 and can be reached out via phone at 787-944-3337 and via fax at 787-699-0039.

Provider Profile Details

NPI Number
1821321191
Provider Name
Mireya M Bolo Diaz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Carr. 891, Km. 1.4, Bo. Pueblo, Corozal, PR 00783-2441
Phone Number
787-944-3337
Fax Number
787-699-0039
Sole Proprietor
Yes
Provider Enumeration Date
September 17, 2009
Last Update Date
March 11, 2025
Certification Date
March 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr. 891, Km. 1.4, Bo. Pueblo
Corozal, PR 00783-2441
Zip
00783-2441
Phone Number
787-944-3337
Fax Number
787-699-0039
Corozal, PR 00783Get directions →

Provider Business Mailing Address Details

Address
Po Box 29828
San Juan, PR 00929-0828
City
San Juan
State
PR
Zip
00929-0828
Fax Number
787-699-0039

License Information

License Number (1)
18363
License State (1)
PR
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
18363
License State (2)
PR

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mireya M Bolo Diaz, MD?

The NPI number of Mireya M Bolo Diaz, MD is 1821321191. It was assigned on September 17, 2009 and is currently active in the NPPES registry.

What is the specialty of Mireya M Bolo Diaz, MD?

Mireya M Bolo Diaz, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (code 2084N0402X), licensed in PR under license number 18363.

Where does Mireya M Bolo Diaz, MD practice?

The practice location is Carr. 891, Km. 1.4, Bo. Pueblo, Corozal, PR 00783-2441. The office can be reached at 787-944-3337 (phone) or 787-699-0039 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821321191 directly on the NPPES registry website.

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