Individual
RAQUEL DIAZ-MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE BALDORIOTY #12, ESQ. GEORGETTI, MANATI, PR 00674
(787) 641-9133
Mailing address
P.O. BOX 19, GARROCHALES, PR 00652
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
32031
PR
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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