Individual
MR. BENIGNO BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
CALLE GANDARA 32A, COROZAL, PR 00783-2059
(787) 859-1042
Mailing address
CALLE GANDARA 32A, COROZAL, PR 00783-2059
(787) 859-1042
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
010
PR
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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