Individual
EDZAIDA RAQUEL ALVARADO SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 CARR 14, WALMART SUPERCENTER 5793, COTO LAUREL, PR 00780
(787) 651-0448
Mailing address
HC 3 BOX 10665, JUANA DIAZ, PR 00795-9505
(787) 246-5688
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
801
PR
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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