Organization
CR DIAZ BONILLA DENTISTA PEDIATRICA PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAREM ROSA DIAZ DMD (PRINCIPAL)
(787) 447-0892
Entity
Organization
Contact information
Practice address
51 AVE SAN JOSE, SUITE 203, AIBONITO, PR 00705
(787) 735-0575
(787) 735-2390
Mailing address
E28 CALLE 14, URB QUINTAS DE CUPEY, SAN JUAN, PR 00926
(787) 735-0575
(787) 735-2390
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2334
PR
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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