# EGS RETINA CRL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033642988
- **Authorized official:** EDUARDO GONZALEZ MD (OWNER)
- **Authorized official phone:** (787) 934-4303

## Contact information

- **Practice address:** 152 DORADO BCH E, DORADO, PR 00646-2203
- **Practice address phone:** (787) 934-4303
- **Mailing address:** 152 DORADO BCH E, DORADO, PR 00646-2203
- **Mailing address phone:** (787) 934-4303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 19558 | PR | Yes |

## Other

- **Enumeration date:** 04/07/2017
- **Last updated:** 04/07/2017