Provider Demographics
NPI:1194933663
Name:DIAZ-TRANCON, LORENA (MD)
Entity type:Individual
Prefix:
First Name:LORENA
Middle Name:
Last Name:DIAZ-TRANCON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND. PARQUE DE LOYOLA
Mailing Address - Street 2:500 AVE JESUS T PINERO SUITE 1005
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-4058
Mailing Address - Country:US
Mailing Address - Phone:787-763-7259
Mailing Address - Fax:
Practice Address - Street 1:COND PARQUE DE LOYOLA
Practice Address - Street 2:500 AVE JESUS T PINERO SUITE 1005
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4003
Practice Address - Country:US
Practice Address - Phone:787-763-7259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10191207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine