Individual
GISELLE MARIE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC. OPTICO
Contact information
Practice address
BO CANAS CARR 10 KM 0.1, PONCE, PR 00728
(787) 612-9301
Mailing address
PO BOX 113, PONCE, PR 00715-0113
(787) 612-9301
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1358
PR
Other
Enumeration date
11/06/2019
Last updated
06/30/2022
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