# DOCTORA MAGALY GONZALEZ MESTRE OPTOMETRA, CSP

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

## Provider details

- **NPI number:** 1609144757
- **Authorized official:** DR. MAGALY GONZALEZ OD (PRESIDENT)
- **Authorized official phone:** (787) 280-6986

## Contact information

- **Practice address:** 200 CALLE RUIZ BELVIS, SAN SEBASTIAN, PR 00685-1724
- **Practice address phone:** (787) 280-6986
- **Mailing address:** PO BOX 1194, SAN SEBASTIAN, PR 00685-1194
- **Mailing address phone:** (787) 280-6986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 502-011 | PR | Yes |

## Other

- **Enumeration date:** 12/05/2011
- **Last updated:** 12/05/2011