Individual
DR. JAIME E DIAZ VICENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
58 CALLE JOSE CELSO BARBOSA S, CAYEY, PR 00736-4727
(787) 263-1313
(787) 263-4597
Mailing address
PO BOX 373068, CAYEY, PR 00737-3068
(787) 263-1313
(787) 263-4597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1532
PR
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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