Organization
SERVICIOS MEDICOS PROFESIONALES DOCTOR J. DIAZ CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIL TARECK DIAZ RUIZ MD (PRESIDENT)
(787) 244-7348
Entity
Organization
Contact information
Practice address
2 CALLE COLON STE 9, AGUADA, PR 00602-3167
(787) 868-0045
(787) 868-0045
Mailing address
CENTRO COOP, SUITE 5000 BOX 953, AGUADA, PR 00602-0953
(787) 868-0045
(787) 868-0045
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12986
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12986
LOCAL LICENSE
PR
Enumeration date
12/10/2006
Last updated
06/19/2020
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