Individual
DR. WILBERTO RIVERA LANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
CALLE SAN PATRICIO, #73, LOITA, PR 00772
(787) 886-2665
(787) 886-2665
Mailing address
PO BOX 529, LOIZA, PR 00772-0529
(787) 886-2665
(787) 886-2665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0389
PR
Other
Enumeration date
08/11/2005
Last updated
02/20/2017
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