Individual
MR. MOISES JOEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR. 198 KM 2.7, BO. QUEBRADA ARENAS, LAS PIEDRAS, PR 00771-0000
(787) 942-4066
Mailing address
HC 1 BOX 7053, GURABO, PR 00778-0000
(787) 586-0214
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3369
PR
103TC1900X
Counseling Psychologist
3369
PR
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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