Individual
JORGE HUMBERTO DIAZ GARCED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
69 CALLE JESUS T PINERO, LAS PIEDRAS, PR 00771-3004
(787) 733-2263
Mailing address
VILLAS DE BUENAVENTURA, 422 C/ LUQUILLO, YABUCOA, PR 00767
(939) 277-4599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
478PA
PR
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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