Individual
DR. RAFAEL DIAZ MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
400 AVE FD ROOSEVELT, SUITE 502, SAN JUAN, PR 00918
(787) 756-5252
(787) 763-4928
Mailing address
A17 CALLE PALMA SOLA, GARDEN HILLS SUR, GUAYNABO, PR 00966-2923
(787) 781-0281
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1052
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052
STATE LIC. #
PR
Enumeration date
08/29/2006
Last updated
07/08/2007
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