Individual
DIMAS JAVIER TIRADO-MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 DR BASORA ST N, EDIF MEDICO IV, OFFICE 206, MAYAGUEZ, PR 00680
(787) 652-3774
Mailing address
55 DR. BASORA ST N, EDIF. MEDICO IV, OFFICE 206, MAYAGUEZ, PR 00680
(787) 652-3774
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21801
PR
2084P0800X
Psychiatry Physician
MD447238
PA
2084P0804X
Child & Adolescent Psychiatry Physician
D79634
MD
Other
Enumeration date
10/13/2010
Last updated
10/02/2024
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