MIGUEL A RIVERA DIAZ

FAJARDO, PR
NPI1396804902
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: PR  D1784)
Enumeration Date2006-12-08
Last Update Date2007-07-08
Business Address
Dr. MIGUEL A RIVERA DIAZ DMD
URB. BARALT AVE. PRINCIPAL I - 8
FAJARDO, PR 00738
Phone number: 787-863-1865
Mailing Address
Dr. MIGUEL A RIVERA DIAZ DMD
HC 66 BOX 10335
FAJARDO, PR 00073
Phone number: 787-863-1865