Individual provider · Type 1 NPI
Daniel Dionisio Diaz Jimenez, DMD
Dental Clinic/Center · Guaynabo, PR
NPI number
1679770440
Active
Practice location
Ave Ponce De Leon 123 Bo Amelia
Guaynabo, PR 00965
Mailing address
PO Box 810119
Carolina, PR 00981-0119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 2749 (PR) |
| Dental Clinic/Center Primary | 261QD0000X | 2749 (PR) |
Dental Clinic/Center: Definition to come...
About NPI 1679770440
Daniel Dionisio Diaz Jimenez, DMD's National Provider Identifier is 1679770440, issued on Jun 27, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Guaynabo, PR. The record was last updated on Jan 25, 2013.