Provider Demographics
NPI:1013650126
Name:DIAZ FRANCO, JOSUA DIMARC (NL)
Entity Type:Individual
Prefix:
First Name:JOSUA
Middle Name:DIMARC
Last Name:DIAZ FRANCO
Suffix:
Gender:M
Credentials:NL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:#83 VEREDA STREET
Mailing Address - Street 2:URBANIZACION PASEO DEL PRADO
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:787-435-1614
Mailing Address - Fax:
Practice Address - Street 1:83 CALLE VEREDA
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-7605
Practice Address - Country:US
Practice Address - Phone:787-435-1614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-16
Last Update Date:2022-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR164175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath