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1902808900
JOSE R DIAZ
HUMACAO, PR
NPI
1902808900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: PR 1890)
Enumeration Date
2005-08-10
Last Update Date
2013-02-27
Business Address
-- JOSE R DIAZ DDS
CALLE ANTONIO LOPEZ #67
HUMACAO, PR 00791
Phone number: 787-850-5060
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Mailing Address
-- JOSE R DIAZ DDS
PO BOX 890 PMB 424
HUMACAO, PR 00792-0890
Phone number: 787-850-5060
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