Individual
RICARDO DIAZ MARMOLEJOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
61 CALLE GUAYAMA, SAN JUAN, PR 00917-4426
(939) 599-5904
Mailing address
61 CALLE GUAYAMA, SAN JUAN, PR 00917-4426
(939) 599-5904
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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