Individual
IRIS THAMARA NUNEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2906 MATOMAS, SAN ANTONIO AGUADILLAS, PR 00690-0069
(787) 356-8037
(888) 351-6173
Mailing address
PO BOX 60401, SAN ANTONIO, PR 00690-9003
(787) 356-8037
(883) 516-1738
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
687
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038832402
—
PR
Enumeration date
10/17/2011
Last updated
08/02/2024
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