Individual
DEBBIE ANN MEDINA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTHOMETRIC, O.D.
Contact information
Practice address
EDIFICIO MEDICAL EMPORIUM SUITE 107, MAYAGUEZ, PR 00680
(787) 834-2627
Mailing address
EDIFICIO MEDICAL EMPORIUM SUITE 107, MAYAGUEZ, PR 00680
(787) 834-2627
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
640
PR
Other
Enumeration date
11/01/2006
Last updated
07/30/2018
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