Individual
DITZA ALEJANDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
467 AVE SAGRADO CORAZON, SAN JUAN, PR 00915-3300
(787) 363-0268
Mailing address
507 CALLE RHIN, JUNCOS, PR 00777-9414
(939) 253-6375
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
000075
PR
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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