Individual
JAIME J JACKSON DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AVE JESUS T PINERO #1250, CAPAPRA TERRACE, SAN JUAN, PR 00921
(787) 781-2565
(787) 782-9524
Mailing address
PO BOX 10431, SAN JUAN, PR 00922-0431
(787) 781-2565
(787) 782-9524
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16730
PR
Other
Enumeration date
07/03/2007
Last updated
08/19/2010
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