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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