Diaz, Wanda Ivelisse

Diaz, Wanda Ivelisse is an sole proprietor health care provider with primary practice located at 759 Ave Avelino Vicente , San Juan PR 00909-2538. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Diaz, Wanda Ivelisse can be contacted via phone (787) 410-5443.

Contact Information

Primary practice address
759 Ave Avelino Vicente San Juan PR 00909-2538
Phone: (787) 410-5443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 930 Puerto Rico

Profile Details

NPI number 1992046171
LBN Legal business name Diaz, Wanda Ivelisse
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2013
Last updated Mar 12th, 2013 - about 11 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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