Individual
VICTOR IVAN DIAZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 CALLE DR PAVIA FERNANDEZ, SAN JUAN, PR 00909-2758
(787) 496-0818
Mailing address
700 CALLE DR PAVIA FERNANDEZ STE 301, SAN JUAN, PR 00909-2757
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
31105102
PR
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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