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Individual

DR. RAFAEL ANGEL DIAZ CANCEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
CALLE DOMINGO CACERES #61W, PUEBLO STATION, CAROLINA, PR 00986
(787) 769-6880
Mailing address
PO BOX 840, CAROLINA, PR 00986-0840
(787) 510-4519

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DM2394
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038819600
PR
Enumeration date
07/13/2005
Last updated
04/19/2022
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