MIREYA M BOLO DIAZ (NPI# 1821321191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821321191 |
| Entity Type | Individual |
| Full Name | MIREYA M BOLO DIAZ |
| Credential | M.D. |
| Practice Address |
Carr. 891 Km. 15.2 Bo. Pueblo Corozal PR 00783 |
| Mailing Address |
Po Box 1838 Corozal PR 00783-1838 |
| Practice Telephone | 7879443337 |
| Practice Fax Number | 7876932010 |
| Mailing Fax Number | 7876932010 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 18363 | PR | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
18363 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
CARR. 891 KM. 15.2 BO. PUEBLO |
| City | COROZAL |
| State | PR |
| Zip Code | 00783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011658 | Rosa I Franco Vazquez | Speech-Language Pathologist | Calle B #44 Urb Sobrino, Corozal, PR 00783 | 2020-10-23 |
| 1487269205 | Mercado Health LLC | Ambulance | Carr 803 Km 1.8, Corozal, PR 00783 | 2020-09-09 |
| 1720692619 | United Pre-hospital System Inc. | Ambulance | Carr #3 Km 135.9 Local 4 Legion Americana Bo Algarrobo, Guayama, PR 00783 | 2020-09-08 |
| 1063047132 | Puerto Rico Upper Cervical | Chiropractor | Corozal Shopping Village, Suite 1-a, Urb. Loma Linda, Carr. 159, Km 13.2, Corozal, PR 00783 | 2020-03-09 |
| 1659905453 | Gilmarie Guzman Negron | Chiropractor | Corozal Shopping Village, Suite 1-a, Urb. Loma Linda, Carr. 159, Km 13.2, Corozal, PR 00783 | 2020-03-02 |
| 1568094555 | Universal Medical Services Psc | Electrodiagnostic Medicine | Calle San Ramon, Bajos #1, Corozal, PR 00783 | 2020-02-07 |
| 1245860998 | Sylvia Rivera Bou | Pharmacist | Calle Gandara # 12, Corozal, PR 00783 | 2020-01-22 |
| 1679122931 | Bmc Realty IIi, LLC | Clinic/Center | Centro Comercial Shopping Village, Carr 159 Km 13.2, Corozal, PR 00783 | 2019-09-10 |
| 1407401169 | Premier Pain & Spine Specialists LLC | Clinic/Center | Carr. 159 Km. 13.2 Bo. Cibuco, Corozal, PR 00783 | 2019-08-08 |
| 1548814411 | Josue Rivera | Psychologist | Carr 818 Km 2.7, Bo Cibuco, Corozal, PR 00783 | 2019-07-30 |
| Find all providers in zip 00783 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373835 | R&h Pediatric Epilepsy, LLC | Psychiatry & Neurology | Maramar Plaza, Ave San Patricio 101, Suite 1270, Guaynabo, PR 00969 | 2019-12-13 |
| 1285284513 | Pediatric Neuroepi LLC | Psychiatry & Neurology | 100 Carr 165 Ste 308, Guaynabo, PR 00968-8050 | 2019-09-18 |
| 1104266006 | Janice Rodriguez Hernandez | Psychiatry & Neurology | Maramar Plaza 1270, 101 Ave San Patricio, Guaynabo, PR 00968 | 2013-06-25 |
| 1881825362 | Marie Bernadine Hidalgo - Rivera | Psychiatry & Neurology | Edificio Centerplex Suite 309, Carr 2 Km 133.5 Bo Guanabano, Aguada, PR 00602 | 2009-08-02 |
| 1285798181 | Edgar A Solis | Psychiatry & Neurology | Hospital Hima San Pablo Edif Arturo Cadilla, Ofic 403a, Bayamon, PR 00956 | 2006-12-22 |
| 1851461602 | Recinto De Ciencias Medicas | Psychiatry & Neurology | Ave Americo Miranda Aptdo 19134 Centro Medico De Pr, Edif. Principal Escuela De Medicina, San Juan, PR 00929-0134 | 2006-11-09 |
| 1770678542 | Jesus R. Velez-borras | Psychiatry & Neurology | 500 Avenida Domenech, Suite 301, San Juan, PR 00918-3713 | 2006-10-04 |
| 1598799868 | Maria Eugenia Davila | Psychiatry & Neurology | Ave. Americo Miranda, Centro Medico, Rcm Edif. Principal, Aptdo. 29134, San Juan, PR 00936-0134 | 2006-07-10 |
| 1124077649 | Antonio Rafael Gonzalez | Psychiatry & Neurology | Consolidated Mall C-33b, Caguas, PR 00725 | 2006-05-10 |
| 1144283904 | Carlos R. Lao Velez | Psychiatry & Neurology | Condominio Las Torres Norte, Oficina 1b, Bayamon, PR 00959 | 2006-04-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.