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Individual

MISS MYRIAM M SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OPTICIAN

Contact information

Practice address
44 CALLE MAYOR, ZAMORA BUILDING FIRST FLOOR, PONCE, PR 00730-3728
(787) 844-8175
(787) 259-4462
Mailing address
44 MAYOR STREET, ZAMORA BUILDING FIRST FLOOR, PONCE, PR 00730-3761
(787) 844-8175
(787) 259-4462

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
135
PR

Other

Enumeration date
02/14/2007
Last updated
07/08/2007
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