Amundaray Diaz, Emmanuel Jose

Amundaray Diaz, Emmanuel Jose is an individual health care provider with primary practice located at 735 Ave Ponce De Leon Ste 510 , San Juan PR 00917-5027. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Amundaray Diaz, Emmanuel Jose can be contacted via phone (787) 250-5055.

Contact Information

Primary practice address
735 Ave Ponce De Leon Ste 510 San Juan PR 00917-5027
Phone: (787) 250-5055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 060843 New York
Dental Providers / Dentist 122300000X 3420 Puerto Rico
Dental Providers / Dentist 122300000X 30025184 Ohio

Profile Details

NPI number 1659728061
LBN Legal business name Amundaray Diaz, Emmanuel Jose
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2016
Last updated Feb 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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