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Organization

D&D BREAST SURGEONS, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ZULEIKA DIAZ NEGRON M.D. (PRESIDENT)
(787) 651-3888
Entity
Organization

Contact information

Practice address
909 TITO CASTRO AVE., TORRE MEDICA SAN LUCAS SUITE 502, PONCE, PR 00716-4728
(787) 651-3888
(787) 651-7325
Mailing address
909 TITO CASTRO AVE, TORRE MEDICA SAN LUCAS SUITE 502, PONCE, PR 00716-4728
(787) 651-3888
(787) 651-7325

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15945
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15945
LIC MD
PR
Enumeration date
11/01/2012
Last updated
03/18/2014
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