Individual
DR. LUIS JOSE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
400 F.D. ROOSEVELT AVE, SUITE 503, SAN JUAN, PR 00918-1929
(787) 756-5300
Mailing address
1305 AVE MAGDALENA, APT. 501, SAN JUAN, PR 00907-1929
(787) 565-8819
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2590
PR
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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