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Individual

ISMAEL E CARLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.C.

Contact information

Practice address
PLAZA ATLANTICO LOCAL #9, ARECIBO, PR 00612
(787) 879-2202
(787) 879-5685
Mailing address
PLAZA DEL ATLANTICO, PLAZA ATLANTICO LOCAL #9, ARECIBO, PR 00612
(787) 880-3770

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
241
PR

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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