Individual
IVAN PEREZ DIEPPA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SAN JUAN CITY HOSPITAL, MEDICAL CENTER, SAN JUAN, PR 00936
(787) 765-7618
Mailing address
PO BOX 3230, CAROLINA, PR 00984-3230
(787) 765-7618
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6549
PR
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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