Provider Demographics
NPI:1194801522
Name:DE LA PAZ, WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:DE LA PAZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5 CALLE 1A
Mailing Address - Street 2:ALTURAS BERWIND
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-2465
Mailing Address - Country:US
Mailing Address - Phone:787-257-1459
Mailing Address - Fax:787-757-2112
Practice Address - Street 1:652 AVE MUNOZ RIVERA
Practice Address - Street 2:SUITE 3220
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4257
Practice Address - Country:US
Practice Address - Phone:787-767-3450
Practice Address - Fax:787-767-3450
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR78182080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology