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Individual
MR. LUIS ALFREDO DIAZ
Active
Individual
MR. LUIS ALFREDO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
6767
PR
Other
Enumeration date
06/22/2022
Last updated
02/22/2023
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