Diaz Mendez, Rafael

Diaz Mendez, Rafael is an individual health care provider with primary practice located at 400 Ave Fd Roosevelt Suite 502, San Juan PR 00918. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Diaz Mendez, Rafael can be contacted via phone (787) 756-5252.

Contact Information

Primary practice address
400 Ave Fd Roosevelt Suite 502 San Juan PR 00918
Phone: (787) 756-5252
Fax: (787) 763-4928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 1052 Puerto Rico

Profile Details

NPI number 1285742189
LBN Legal business name Diaz Mendez, Rafael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285742189 NPPES
Puerto Rico Other 1052 STATE LIC. #

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