Individual
DIEGO G IRAVEDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
124 WINSTON CHURCHILL, SUITE 3 CROWN HILL, SAN JUAN, PR 00918
(787) 765-8176
(787) 765-8196
Mailing address
212 LA HIJA DEL CARIBE LOS MAESTROS, SAN JUAN, PR 00918
(787) 765-8176
(787) 765-8176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1558
PR
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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