Individual
CHAIMARIE DIAZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
SANTA MARIA MEDICAL BUILDING, SUITE 102 AVE. FERROCARRIL, PONCE, PR 00718
(787) 403-8711
Mailing address
HC 2 BOX 5395, PENUELAS, PR 00624-9692
(787) 403-8711
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
PR
Other
Enumeration date
12/13/2019
Last updated
02/03/2020
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