Individual
WILSON MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
CALLE COMERCIO #69, JUANA DIAZ, PR 00795-1634
(787) 837-9608
(787) 837-9608
Mailing address
CALLE COMERCIO #69, JUANA DIAZ, PR 00795-1634
(787) 837-9608
(787) 837-9608
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
090
PR
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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