Individual
DR. HECTOR ENRIQUE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
P60 AVE SANTA JUANITA, BAYAMON, PR 00956-4954
(787) 779-3333
(787) 779-3300
Mailing address
P60 AVE SANTA JUANITA, BAYAMON, PR 00956-4954
(787) 779-3333
(787) 779-3300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
406
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57389
TRIPLE S
PR
01
—
A903
IMC
PR
Enumeration date
07/18/2005
Last updated
07/08/2007
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