Individual
DR. RAFAEL AGUSTIN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
308 CALLE FERNANDEZ GARCIA, LUQUILLO, PR 00773-2233
(787) 889-2820
(787) 889-2820
Mailing address
PO BOX 578, LUQUILLO, PR 00773-0578
(787) 889-2820
(787) 889-2820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1109
PR
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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