Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRIAM M PADILLA DIAZ, MD
Active Sole ProprietorMIRIAM M PADILLA DIAZ, MD is a Sports Medicine (IM) healthcare provider located in PONCE, Puerto Rico. NPI 1164916730 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · PONCE, PR
Registration Details
- NPI Number
- 1164916730
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2018 (7.9699452802249 yrs)
- Last Updated
- Oct 22, 2024
- Licenses
-
14750-I (PR)35258 (PR)35258 (PR)22683 (PR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
917 AVE. TITO CASTROTORRE MEDICA SAN LUCAS STE 701PONCE, PR, 007164717Browse PR providers · Browse ZIP 00716
- Phone
- 7872905577
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Sports Medicine (IM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.