Individual
MARILIA MORALES GRATACOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
525 ROOSEVELT AVE, SAN JUAN, PR 00918-8001
(787) 296-3922
(787) 296-3902
Mailing address
PO BOX 21099, SAN JUAN, PR 00928-1099
(787) 767-0436
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
643
PR
Other
Enumeration date
02/06/2007
Last updated
02/21/2020
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