Individual
JUAN F DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
A-12 CALLE COLINA DEL YYUNQUE, URB LAS COLINAS, TOA BAJA, PR 00949
(787) 587-9969
Mailing address
A-12 CALLE COLINA DEL YYUNQUE, URB LAS COLINAS, TOA BAJA, PR 00949
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2956
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2956
LICENSE
PR
Enumeration date
08/28/2007
Last updated
08/28/2007
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