Individual
MR. JAVIER DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 152 KM 2 8, BARRIO QUEBRADILLAS DE BARRANQUITAS, BARRANQUITAS, PR 00794
(787) 857-7954
(787) 857-5249
Mailing address
HC 1 BOX 5352, COROZAL, PR 00783-9327
(787) 859-3736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3911
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3894
PROFESSIONAL LICENSE
PR
Enumeration date
05/30/2007
Last updated
07/08/2007
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