Individual
MRS. IDALIA DIAZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
CALLE SAN JOSE #4, GURABO, PR 00778
(787) 737-3355
(787) 737-3355
Mailing address
CALLE 41J 28 URB VILLA HERMOSA, CAGUA, PR 00727
(787) 746-9672
(787) 737-3355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2509
PR
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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