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Individual
JOSE DIAZ
Active
Individual
JOSE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
71810
PR
261QH0100X
Health Service Clinic/Center
71810
PR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
71810
PR
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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