Individual
MICHAEL ANTHONY IRIZARRY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
URBANIZACION PERLA DEL SUR, 2421 MARGINAL PERLA DEL SUR BO. CANAS URBANO, PONCE, PR 00728
(939) 400-8000
Mailing address
URBANIZACION PERLA DEL SUR, 2421 MARGINAL PERLA DEL SUR BO. CANAS URBANO, PONCE, PR 00728
(939) 400-8000
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1225
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225
OPTICIAN
PR
Enumeration date
02/05/2020
Last updated
02/05/2020
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