Individual
DR. STEPHANIE MARIE DE LA MATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
46 AVENIDA UNIVERSIDAD INTERAMERICANA, SAN GERMAN, PR 00683
(787) 892-6016
Mailing address
46 AVENIDA UNIVERSIDAD INTERAMERICANA, SAN GERMAN, PR 00683
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
747
PR
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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