Individual
JOSE JAVIER DIAZ VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
HC 4 BOX 9340, UTUADO, PR 00641-7722
(939) 274-0837
Mailing address
HC 4 BOX 9340, UTUADO, PR 00641-7722
(939) 274-0837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4519
PR
Other
Enumeration date
07/31/2014
Last updated
08/06/2023
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