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Organization

DR. JOSE SANTISTEBAN OPTOMETRA DEL DESARROLLO PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE SANTISTEBAN O.D. (OPTOMETRIST)
(787) 896-1868
Entity
Organization

Contact information

Practice address
# 1003 AVE. EMERITO ESTRADA RIVERA, SUITE 7, SAN SEBASTIAN, PR 00685
(787) 896-1868
Mailing address
P.O. BOX 1648, SAN SEBASTIAN, PR 00685-1648
(787) 896-1868

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
159
PR

Other

Enumeration date
11/28/2006
Last updated
01/22/2014
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