Individual
EDUARDO VELEZ LARA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OP
Contact information
Practice address
29 CALLE PERAL NORTH, MAYAGUEZ, PR 00680-0068
(787) 464-7855
(787) 464-7855
Mailing address
29 CALLE PERAL NORTH, MAYAGUEZ, PR 00680
(787) 831-6042
(787) 831-6042
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
494
PR
Other
Enumeration date
11/20/2017
Last updated
12/11/2017
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