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Individual

ANTONIO M DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
B24 CALLE 25, FOREST HILLS, BAYAMON, PR 00959-5548
(787) 780-9670
(787) 785-2264
Mailing address
78 CALLE KINGS CT, APT. 7D, SAN JUAN, PR 00911-1600
(787) 728-7565
(787) 785-2264

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8186
PR

Other

Enumeration date
02/16/2007
Last updated
04/06/2014
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