Individual
JESSE E DIAZ CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LEGACY SENIOR LIVING PUERTO RICO, 50 CALLE VICTORIA, SUITE 24, HUMACAO, PR 00791
(787) 656-0161
Mailing address
PO BOX 8418, HUMACAO, PR 00792-8418
(939) 902-4200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21298
PR
207RN0300X
Nephrology Physician
Primary
21298
PR
Other
Enumeration date
08/18/2015
Last updated
01/18/2025
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