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Individual

JUAN F TERREFORTE-DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
CALLE BALDORIOTY 165 NORTE, BUZON #2, AIBONITO, PR 00705
(939) 545-0522
(939) 545-0700
Mailing address
CALLE BALDORIOTY 165 NORTE, BUZON #2, AIBONITO, PR 00705
(939) 545-0522
(939) 545-0700

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
12/27/2019
Last updated
12/27/2019
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