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Individual

EDEL RICARDO DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
508 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918-2652
(787) 759-9605
(787) 754-6958
Mailing address
508 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918-2652
(787) 759-9605
(787) 754-6958

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0270
PR

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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