| NPI | 1558930552 |
|---|---|
| Professional Name | SAMUEL JOSHUA DIAZ ORTIZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 22937) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-09-30 |