Individual
JOVANNY ULLOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
SUITE A-12, SANTA MARIA SHOPPING CTR, GUAYNABO, PR 00969
(939) 336-4584
Mailing address
78 CALLE CORALINA, ROSEVILLE, SAN JUAN, PR 00926-9634
(787) 210-6092
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
702
PR
Other
Enumeration date
08/09/2013
Last updated
08/10/2022
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