Individual
AITSA DIAZ SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.
Contact information
Practice address
2981 AVE MILITAR STE 1, ISABELA, PR 00662-4075
(787) 830-2060
(787) 830-2253
Mailing address
PO BOX 604, SAN ANTONIO, PR 00690-0604
(787) 830-2060
(787) 830-2253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2518
PR
Other
Enumeration date
02/16/2007
Last updated
01/26/2011
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