Individual
DR. JANICE ANNETTE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CALLE CASIA, VA MEDICAL CENTER, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
10 CALLE CASIA, VA MEDICAL CENTER, SAN JUAN, PR 00921-3200
(787) 641-7582
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055219
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
01/13/2010
Last updated
09/07/2010
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