Organization
DRA RAMONA DE LOURDES DIAZ JIMENEZ
Active
Organization
DRA RAMONA DE LOURDES DIAZ JIMENEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMONA DE LOURDES DIAZ JIMENEZ M.D (OWNER)
(787) 356-5376
Entity
Organization
Contact information
Practice address
513 SANTANA, ARECIBO, PR 00612-6708
(787) 356-5376
(787) 881-4507
Mailing address
513 SANTANA, ARECIBO, PR 00612-6708
(787) 356-5376
(787) 881-4507
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
5660
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5660
TEM
—
Enumeration date
11/14/2016
Last updated
11/14/2016
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