Individual
ED BONANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICO
Contact information
Practice address
Z 974 CALLE BAHUNIA LOIZA VALLEY, CANOVANAS, PR 00729
(939) 644-5821
Mailing address
Z 974 CALLE BAHUNIA LOIZA VALLEY, CANOVANAS, PR 00729
(939) 644-5821
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
601
PR
Other
Enumeration date
05/22/2020
Last updated
07/16/2023
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