NPI 1043884166

Edwin Andres Diaz, LMT

Practitioner Massage Therapist Carolina, PR

Practice location

Address: Villa Fontana Via 46 4ks-16, Carolina, PR 00983
Phone: (787) 647-7544
Mailing address: 46 Villa Fontana Via 4ks-16, Carolina, PR 00983

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 933 (PR)

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Registry record

NPI: 1043884166
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2021
Record last updated: 13 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.