Individual
DR. BRUNY VANESSA DIAZ MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
407B FERNANDO MONTILLA, SUITE 2, SAN JUAN, PR 00918
(787) 314-7450
(787) 294-9921
Mailing address
407B FERNANDO MONTILLA, SUITE 2, SAN JUAN, PR 00918
(787) 314-7450
(787) 294-9921
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14561
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14561
STATE LICENSE
PR
Enumeration date
05/20/2007
Last updated
05/26/2016
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