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Individual

MS. CARMEN M RIVERA-ROSA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OPTICIAN

Contact information

Practice address
1699 CALLE PARANA, SAN JUAN, PR 00926-3143
(787) 765-2722
(787) 765-2771
Mailing address
46-AR-8 VALLE ARRIBA HEIGHTS, CAROLINA, PR 00983
(787) 765-2722
(787) 765-2771

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
100
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051359
LA CRUZ AZUL DEPR
PR
01
89010
MEDICARE
PR
Enumeration date
08/02/2005
Last updated
07/08/2007
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