Individual
DR. JUAN R DIAZ TROCHE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE PABLO MAIZ 13, BO BARCELONA, MAYAGUEZ, PR 00681-1150
(781) 834-2520
(787) 833-6730
Mailing address
PO BOX 1150, MAYAGUEZ, PR 00681-1150
(787) 834-2520
(787) 833-6730
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4677
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06530
CRUZ AZUL
—
01
—
146530
BLUE CROSS BLUE SHIELD
—
01
—
20895
AMPR
—
01
—
3134
AMERICAN HEALTH
—
01
—
346771
MEDICAL CARD SYSTEM
—
01
—
5165
INTERNATIONAL MEDICAL CAR
—
01
—
PE2111
PAN AMERICAN LIFE
—
Enumeration date
12/04/2006
Last updated
07/08/2007
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