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Individual

DR. EDUARDO DIAZ DEL VALLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CONSOLIDATED MALL C 4, AVENIDA GAUTIER BENITEZ, CAGUAS, PR 00725
(787) 744-9787
(787) 744-9787
Mailing address
PO BOX 8398, CAGUAS, PR 00726-8398
(787) 743-6177
(787) 744-9787

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7077
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
212171
PREFERED HEALTH
PR
01
68595
LA CRUZ AZUL
PR
01
826097
MEDICARE Y MUCHO MAS
PR
01
8667
FIRST MEDICAL
PR
01
98601
MEDICARE OPTIMA
PR
Enumeration date
01/09/2006
Last updated
08/19/2013
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