Organization
WATERFALL HEALTH SERVICE MANAGEMENT, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA DIAZ MHSA (VICE-PRESIDENT)
(787) 249-1521
Entity
Organization
Contact information
Practice address
77 CHILE STREET, URB FLORAL PARK, SAN JUAN, PR 00922
(787) 249-1521
Mailing address
PO BOX 10376, SAN JUAN, PR 00922
(787) 249-1521
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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