Most Relevant Information
Provider Data
| NPI Number: | 1003803693 |
| Provider Name: | MAGDA S. DIAZ D.M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0221X |
| Specialty: | Dentist |
| License Number: | 2656 |
Most Important Dates
| Enumeration Date: | 09/29/2005 |
| Last Updated: | 01/07/2009 |
Provider Practice Location
38 CALLE BETANCES
CLINICA DENTAL AYMAT
VEGA BAJA
PR
006934453
Practice Location Phone/Fax
| Phone: | 7878553996 |
| Fax: |
Provider Mailing Location
PO BOX 54
290 AVE. SANTA ANA TORRIMAR TOWN PARK
GUAYNABO
PR
009700054
Provider Mailing Phone/Fax
| Phone: | 7875044126 |
| Fax: |