Individual
SAMUEL JOSHUA DIAZ ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CENTRO MEDICO DE PUERTO RICO, SAN JUAN, PR 00935-0001
(787) 777-3535
Mailing address
30 CALLE PRINCESA, TOA ALTA, PR 00953-3608
(787) 388-9368
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22937
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/23/2021
Last updated
09/30/2023
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