Most Relevant Information
Provider Data
| NPI Number: | 1003592296 |
| Provider Name: | ANDREA M PACHECO DIAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2023 |
| Last Updated: | 06/23/2023 |
Provider Practice Location
PHSU
388 ZONA INDUSTRIAL REPARADA 2
PONCE
PR
00716
Practice Location Phone/Fax
| Phone: | 7878402575 |
| Fax: |
Provider Mailing Location
PHSU
PO BOX 7004
PONCE
PR
007327004
Provider Mailing Phone/Fax
| Phone: | 7878402575 |
| Fax: |