Individual
JOSE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
I10 CALLE 6, URB TAMARINDO 1, SAN LORENZO, PR 00754
(787) 340-5103
Mailing address
J-9 CALLE FLAMBOYAN, URB BOSQUE LLANO, SAN LORENZO, PR 00754
(787) 203-9985
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
71810
PR
261QH0100X
Health Service Clinic/Center
71810
PR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
71810
PR
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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