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Organization

ADVANCED RETINA LLC

Active
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Organization

ADVANCED RETINA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAN CARLOS ORTIZ ROSARIO MD (PRESIDENT)
(787) 432-4849
Entity
Organization

Contact information

Practice address
CALLE UNION #91 ESQ CALLE SOL, PONCE, PR 00730
(787) 848-5353
Mailing address
PO BOX 7432, PONCE, PR 00732-7432
(787) 432-4849

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—

Other

Enumeration date
07/01/2022
Last updated
06/21/2023
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