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Individual

MIRIALYS DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
168 AVE PEDRO ALBIZU CAMPOS, AGUADILLA, PR 00603-5725
(787) 641-0773
Mailing address
HC 03 BOX 17383, QUEBRADILLAS, PUERTO RICO 00678
(787) 378-7687

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/16/2014
Last updated
01/16/2014
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