Individual
MISS ENEIDA DIAZ-ADORNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
CALLE 4 E8 HACIENDAS DE CARRAIZO, TRUJILLO ALTO, PR 00976
(787) 460-2784
Mailing address
CALLE 4 E 8 HACIENDAS DE CARRAIZO, SAN JUAN, PR 00926-9141
(787) 460-2784
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000889
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000889
LISENCE NUMBER
PR
Enumeration date
04/17/2007
Last updated
04/04/2013
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