Individual
VIRIANA DIEZ GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-3659
Mailing address
L7 CALLE 11, GURABO, PR 00778-5105
(787) 448-0582
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28203-R
PR
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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