# RETINA CARE PSC

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

## Provider details

- **NPI number:** 1982958773
- **Authorized official:** DR. ANDRES EMANUELLI ANZALOTTA M.D. (PRESIDENT)
- **Authorized official phone:** (787) 680-7222

## Contact information

- **Practice address:** 58 CALLE PONCE DE LEON, URB. GARCIA, ARECIBO, PR 00612-4315
- **Practice address phone:** (787) 680-7222
- **Practice address fax:** (787) 680-7223
- **Mailing address:** PO BOX 2770, ARECIBO, PR 00613-2770
- **Mailing address phone:** (787) 680-7222
- **Mailing address fax:** (787) 680-7223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 16978 | PR | Yes |

## Other

- **Enumeration date:** 11/01/2012
- **Last updated:** 11/01/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | LIC MD 16978 | LIC MD | PR |