NPI 1922522010

Victor Ivan Diaz

Practitioner Prevention Professional San Juan, PR

Practice location

Address: 700 Calle Dr Pavia Fernandez, San Juan, PR 00909-2758
Phone: (787) 496-0818
Mailing address: 700 Calle Dr Pavia Fernandez STE 301, San Juan, PR 00909-2757

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 31105102 (PR)

Other Prevention Professional providers in Puerto Rico →

Registry record

NPI: 1922522010
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2017
Record last updated: 31 Jul 2017

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.