Individual
ANGEL LUIS MALDONADO DESPIAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HC 2 BOX 16097, ARECIBO, PR 00612-9373
(787) 460-6605
Mailing address
HC 2 BOX 16097, ARECIBO, PR 00612-9373
(787) 460-6605
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
792
PR
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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