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Individual provider · Low Vision Rehabilitation Optometrist · San Juan, PR

NPI
1538357066
Type
Individual (Type 1)
Primary specialty
Low Vision Rehabilitation Optometrist (Optometrist)
Specialty group
Eye and Vision Services Providers
Taxonomy code
152WL0500X
License number
649 (PR)
Sex
Male
Sole proprietor
Yes
Enumerated
2007-10-10
Last updated
2017-05-23
Practice location
Va Caribbean Health Care System, 10 Calle Casia
San Juan, PR 00921-3201
(787) 641-7582

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