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Individual

DR. ENRIQUE DIAZ

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
5A CALLE CERVANTES, COROZAL, PR 00783-1905
(787) 859-2731
Mailing address
PO BOX 293, #6 ST D-35 SYLVIA, COROZAL, PR 00783-0293
(787) 859-2731

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
681
PR

Other

Enumeration date
07/18/2005
Last updated
07/08/2007
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