Individual
DR. RENAN A. DIEPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
982 S.E. 42ND STREET, REPARTO METROPOLITANO, SAN JUAN, PR 00921
(787) 751-3535
(787) 767-6111
Mailing address
PO BOX 363704, SAN JUAN, PR 00936-3704
(787) 751-3535
(787) 767-6111
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
05711
PR
2088P0231X
Pediatric Urology Physician
5711
PR
Other
Enumeration date
11/08/2006
Last updated
02/03/2010
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