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1396804902
MIGUEL A RIVERA DIAZ
FAJARDO, PR
NPI
1396804902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PR D1784)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Dr. MIGUEL A RIVERA DIAZ DMD
URB. BARALT AVE. PRINCIPAL I - 8
FAJARDO, PR 00738
Phone number: 787-863-1865
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Mailing Address
Dr. MIGUEL A RIVERA DIAZ DMD
HC 66 BOX 10335
FAJARDO, PR 00073
Phone number: 787-863-1865
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