Individual
DR. LUIS X DIAZ MEDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
LA RAMBLA CALLE ZARAGOZA 914, PONCE, PR 00730
(939) 588-1806
Mailing address
CALLE 1010 CONDOMINIO ESTANCIAS DEL ORIOL, APT 115, PONCE, PR 00728
(787) 975-3272
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7790
PR
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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