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Individual

DR. JORGE E RUIZ DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10A RIUS RIVERA, ADJUNTAS, PR 00601
(787) 829-1096
(787) 809-0251
Mailing address
PO BOX 989, ADJUNTAS, PR 00601-0989
(787) 829-1096
(787) 829-0251

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8316
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8316
MEDICAL LICENSE
PR
Enumeration date
07/25/2006
Last updated
10/17/2012
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