Individual
YADIRA I BUXO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ROAD 173 KM 21.1, AGUAS BUENAS, PR 00703-0777
(787) 732-4956
Mailing address
PO BOX 777, AGUAS BUENAS, PR 00703-0777
(787) 732-4123
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
6127
PR
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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