Diaz, Wanda I

Diaz, Wanda I is an sole proprietor health care provider with primary practice located at Calle 1 B 6 Villas Del Madrigal , Carolina PR 00987. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Diaz, Wanda I can be contacted via phone (787) 769-8224.

Contact Information

Primary practice address
Calle 1 B 6 Villas Del Madrigal Carolina PR 00987
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 005010 Puerto Rico

Profile Details

NPI number 1609915859
LBN Legal business name Diaz, Wanda I
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
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 1609915859 NPPES
Puerto Rico Other 2275625 LICENSE

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