Individual
DR. FARZAD A. KHAZRAEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
PLAZA ISABELA LOCAL 265, 3535 AVE. MILITAR, ISABELA, PR 00662-5909
(787) 589-8334
(787) 589-8334
Mailing address
HC 3 BOX 31694, AGUADILLA, PR 00603-9495
(787) 431-3311
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
496
PR
152W00000X
Optometrist
496-302
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSS378A
—
PR
Enumeration date
02/01/2006
Last updated
08/24/2022
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