Individual
JEAN ASHLEY DIAZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR. PR #14 KM.1.2, CAYEY, PR 00716
(787) 535-1001
Mailing address
URB LOS CAOBOS CALLE MOTILLO, #2099, PONCE, PR 00716
(787) 237-8136
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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