Individual
MRS. CARMEN DOLORES DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TECH
Contact information
Practice address
4910 CALLE ZUMBADOR, CASAMIA, PONCE, PR 00728-3413
(787) 367-0493
(787) 843-9485
Mailing address
4910 CALLE ZUMBADOR, CASAMIA, PONCE, PR 00728-3413
(787) 367-0493
(787) 843-9485
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
2112
PR
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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