IndividualActive
Mireya Bolo Diaz, M.D.
NPI 1821321191 · Neurology with Special Qualifications in Child Neurology Physician · Corozal, PR
Provider details
- NPI number
- 1821321191
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 18363 (PR)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 18363 (PR)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
Carr. 891, Km. 1.4, Bo. Pueblo
Corozal, PR 00783-2441
Phone: (787) 944-3337
Fax: (787) 699-0039
Mailing address
Po Box 29828
San Juan, PR 00929-0828
Additional practice locations (1)
- 715 Ave Ponce De LeonHospital Auxilio MutuoSan Juan, PR 00917-5032Phone: (787) 758-2000Fax: (787) 699-0039
Registry dates
- Enumerated
- 2009-09-17
- Last updated
- 2025-03-11
- Certified
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.