Individual
EDWIN ANDRES DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
VILLA FONTANA VIA 46, 4KS-16, CAROLINA, PR 00983
(787) 647-7544
Mailing address
46 VILLA FONTANA VIA, 4KS-16, CAROLINA, PR 00983
(787) 647-7544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
933
PR
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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