Individual
LOURDES DIAZ AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
AVE GAUTIER BENITEZ EDIF ANGORA #162, CAGUAS, PR 00725
(787) 641-0774
(787) 641-0776
Mailing address
PO BOX 71474, APS HEALTHCARE PR, SAN JUAN, PR 00936-8574
(787) 641-0774
(787) 641-0776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
15646
PR
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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