Individual
MARISEL IRIZARRY LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
SAN GERMAN MEDICAL PLAZA, SUITE 105, SAN GERMAN, PR 00638
(787) 264-3830
(787) 264-3830
Mailing address
PO BOX 63, SABANA GRANDE, PR 00637-0063
(787) 487-0890
(787) 264-3830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
587
PR
Other
Enumeration date
02/02/2007
Last updated
07/09/2007
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