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Individual

DR. JUAN DIEGO OSORIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
73 CALLE PONCE, SAN JUAN, PR 00917-5007
(832) 526-6176
Mailing address
PO BOX 360456, SAN JUAN, PR 00936-0456
(832) 526-6176

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17310
PR
390200000X
Student in an Organized Health Care Education/Training Program
17310
PR

Other

Enumeration date
10/16/2008
Last updated
09/16/2016
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