Individual
MRS. ELIZANDRA DIAZ AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
29 CALLE WASHIGTON, OFIC 409, SAN JUAN, PR 00907
(787) 722-3955
(787) 721-1360
Mailing address
29 CALLE WASHIGTON, OFICE 409, SAN JUAN, PR 00907
(787) 722-3955
(787) 721-1360
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1229
PR
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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