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Organization

JUAN R DIAZ TROCHE CIRUJANOS CSP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUAN R DIAZ TROCHE MD (PRESIDENTE ADMINISTINDO)
(787) 834-2520
Entity
Organization

Contact information

Practice address
13 CALLE PABLO MAIZ, BO BARCELONA, MAYAGUEZ, PR 00680-4838
(787) 834-2520
(787) 833-6730
Mailing address
PO BOX 1150, MAYAGUEZ, PR 00681-1150
(787) 834-2520
(787) 833-6730

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11067
PR
208600000X
Surgery Physician
4610
PR
208600000X
Surgery Physician
Primary
4677
PR

Other

Enumeration date
02/01/2006
Last updated
10/26/2011
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