Individual
CHRISTIAN GUILLAMA DEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
PO BOX 1637, GUAYNABO, PR 00970-1637
(787) 999-6200
Mailing address
10 AVE 5, MANATI, PR 00674-5630
(787) 381-3195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4866
PR
Other
Enumeration date
06/13/2024
Last updated
06/14/2024
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