Individual
MISS DAMAIRA IVETTE DIAZ ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 CALLE COLINA REAL LAS COLINAS, TOA BAJA, PR 00951
(787) 779-8385
(787) 779-8392
Mailing address
PO BOX 1872, OROCOVIS, PR 00720-1872
(787) 215-8156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5598
PR
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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