Individual
MISS MILDRED DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
AVE J.T. PINERO #1000, SAN JUAN, PR 00921
(787) 782-6129
Mailing address
P.O. BOX 361365, SAN JUAN, PR 00936-1365
(787) 790-7347
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3724
PR
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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