# JAB OPHTHALMICS, PSC

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

## Provider details

- **NPI number:** 1528596897
- **Authorized official:** MRS. MARIA HORTENSIA BERROCAL FERNANDEZ MD (OPHTHALMOLOGIST-PRESIDENT)
- **Authorized official phone:** (787) 725-9315

## Contact information

- **Practice address:** AVE DE DIEGO 150 SUITE 404, SAN JUAN, PR 00907
- **Practice address phone:** (787) 725-9315
- **Practice address fax:** (787) 724-4654
- **Mailing address:** PO BOX 41281, SAN JUAN, PR 00940-1281
- **Mailing address phone:** (787) 725-9315
- **Mailing address fax:** (787) 724-4654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 9358 | PR | Yes |

## Other

- **Enumeration date:** 05/31/2017
- **Last updated:** 05/31/2017