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Individual

AMANDA M DIAZ MENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
67 PLAZA 7 GRAN VISTA 2, GURABO, PR 00778
(787) 692-1243
Mailing address
67 PLAZA 7 GRAN VISTA 2, GURABO, PR 00778
(787) 692-1243

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37436
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/23/2021
Last updated
04/16/2026
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