MIREYA M. BOLO DIAZ M.D. – NPI #1821321191
Psychiatry & Neurology

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

MIREYA BOLO DIAZ is a psychiatry & neurologist located in COROZAL, PR. NPPES has assigned the NPI number 1821321191 to MIREYA BOLO DIAZ on September 17, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0402X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology

The NPI profile was last updated on Mar 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIREYA BOLO DIAZ below.

NPI Profile for
MIREYA M. BOLO DIAZ

NPI Number
1821321191
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MIREYA M. BOLO DIAZ
Credentials
M.D.
Primary location
CARR. 891, KM. 1.4, BO. PUEBLO
COROZAL, PR 00783-2441
Phone: (787) 944-3337 Fax: (787) 699-0039
1 Other location(s):
715 Ave Ponce De Leon
Hospital Auxilio Mutuo
San Juan, PR 00917-5032
Phone: (787) 758-2000 Ext: 1391
Fax: (787) 699-0039
Mailing address
PO BOX 29828
SAN JUAN, PR 00929-0828
Phone: Fax: (787) 699-0039
Sole Proprietor
Yes
Updated
Certification Date
Mar 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0402X
- Psychiatry & Neurology / Neurology with Special Qualifications in Child Neurology (Primary)
PR 18363
208000000X
- Pediatrics
PR 18363

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.