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Individual

MR. IRWIN W ROSADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
VA PONCE OUTPATIENT CLINIC, PASEO DEL VETERANO 1010, PONCE, PR 00716-2001
(787) 812-3030
(787) 651-4321
Mailing address
159 CALLE A, URB. LA VEGA, VILLALBA, PR 00766-1716
(787) 847-4272

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
047
PR

Other

Enumeration date
09/22/2006
Last updated
07/08/2007
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