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Individual

ANGEL MARIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
CENTRO COMERCIAL PLAZA PALMA REAL, HUMACAO, PR 00791
(787) 850-5222
(787) 850-5222
Mailing address
CENTRO COMERCIAL PALMA REAL HUMACAO, HUMACAO, PR 00791
(787) 850-5222
(787) 850-5222

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
66-0835299
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
66-0835299
OPTICA
PR
Enumeration date
11/18/2015
Last updated
11/18/2015
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