Individual ProviderMiosoti DiazGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressHc 3 Box 4709, Gurabo, PR 00778-9715(787) 445-4068PECOS EnrollmentBased on the most recent information from CMS, provider Miosoti Diaz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1811385784Provider TypeIndividualFull NameDiaz, MiosotiCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date12/30/2014Last Updated12/30/2014Contact InformationPractice LocationPractice AddressHc 3 Box 4709, Gurabo, PR 00778-9715Phone(787) 445-4068FaxUnlisted FaxMailing LocationMailing AddressHc 3 Box 4709, Gurabo, PR 00778-9715Phone(787) 445-4068FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense18977Puerto Rico