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Individual

DR. ISMAEL ENRIQUE DIAZ DAVILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
HX15 CALLE 253, URB COUNTRY CLUB 3RA EXT, CAROLINA, PR 00982
(787) 630-5066
Mailing address
HX15 CALLE 253, URB COUNTRY CLUB 3RA EXT, CAROLINA, PR 00982
(787) 630-5066

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18599
PR

Other

Enumeration date
10/25/2013
Last updated
04/19/2017
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