Individual
DR. EDGAR DIAZ-RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
467 CALLE DE DIEGO, RIO PIEDRAS, SAN JUAN, PR 00923-7002
(787) 762-5220
(787) 762-5220
Mailing address
584 CALLE CAPRI, EXT. EL COMANDANTE, CAROLINA, PR 00982-3626
(787) 752-4686
(787) 762-5220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
02121
PR
Other
Enumeration date
08/30/2005
Last updated
12/18/2012
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