Organization
45 GRADOS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE A DIAZ MARTINEZ DC (DOCTOR)
(787) 751-1121
Entity
Organization
Contact information
Practice address
1011 AVENIDA AMERICO MIRANDA, SAN JUAN, PR 00921
(787) 751-1121
Mailing address
1011 AVENIDA AMERICO MIRANDA, SAN JUAN, PR 00921
(787) 751-1121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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