Individual
DR. ERNIE PEDRO DIAZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4LS12 VIA LETICIA, VILLA FONTANA, CAROLINA, PR 00983-4823
(787) 752-4950
(787) 257-3880
Mailing address
PO BOX 9147, PLAZA CAROLINA STATION, CAROLINA, PR 00988-9147
(787) 752-4950
(787) 257-3880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0773
PR
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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