Individual
MRS. WIDALYS DIAZ NEVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
X9 CALLE 19, URB. LA ESPERANZA, VEGA ALTA, PR 00692-6840
(939) 644-3435
Mailing address
X9 CALLE 19, URB. LA ESPERANZA, VEGA ALTA, PR 00692-6840
(939) 644-3435
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
770
PR
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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