JOSE JUAN FORTY DIAZ

SAN JUAN, PR
NPI1740874916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-02-26
Last Update Date2021-02-26
Business Address
JOSE JUAN FORTY DIAZ
CENTRO MEDICO SAN JUAN PUERTO RICO BARRIO MONACILLOS
SAN JUAN, PR 00935-0001
Phone number: 787-758-2525
Mailing Address
JOSE JUAN FORTY DIAZ
PO BOX 365067
SAN JUAN, PR 00936-5067
Phone number: 787-758-2525