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Individual

JOHANNA GRISELL RAMOS BELEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
53 CALLE CORAL, REPTO PUEBLO NUEVO, SAN GERMAN, PR 00683-4306
(787) 410-5774
(787) 833-9200
Mailing address
CORAL 53, REPTO PUEBLO NUEVO, SAN GERMAN, PR 00683
(787) 410-5774
(787) 833-9200

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
551
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2170311
DRIVER LISCENSE
PR
Enumeration date
01/26/2007
Last updated
02/20/2012
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