Individual
RAFAEL A FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
BALDORIOTY DE CASTRO-EXP, CAROLINA, PR 00985
(787) 750-6850
(787) 750-6755
Mailing address
PO BOX 9792, SAN JUAN, PR 00908-0792
(787) 721-4365
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
260
PR
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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