Individual
DR. RAFAEL DIAZ RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CONDO MEDICINA CENTER ALTOS CORREO RIO PIEDRAS, OFICINA 704 CALLE ARZUAGA #112, RIO PIEDRAS, PR 00928
(787) 645-9783
Mailing address
CALLE GRAN CANYON U2-4, PARK GARDENS, SAN JUAN, PR 00926
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
LIC14134
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21271
SSS
PR
01
—
500249
MMM
PR
Enumeration date
02/08/2006
Last updated
07/08/2007
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