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Organization
EASTERN RETINA CONSULTANTS OF PUERTO RICO, PSC
Active
Organization
EASTERN RETINA CONSULTANTS OF PUERTO RICO, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL ALBERTO BENITEZ BAJANDAS M.D. (PRESIDENT)
(787) 697-1171
Entity
Organization
Contact information
Practice address
#15 AVE. PADRE RIVERA, HUMACAO, PR 00791
(787) 852-6825
(787) 850-5005
Mailing address
#15 AVE. PADRE RIVERA, HUMACAO, PR 00791
(787) 852-6825
(787) 850-5005
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
339876
PR
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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