Individual
MRS. JANEZALIZ C DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
PORTAL DE LA REINA, APT 308, SAN JUAN, PR 00924-5755
(787) 647-5096
Mailing address
PORTAL DE LA REINA, APT 308, SAN JUAN, PR 00924-5755
(787) 647-5096
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
767
PR
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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