Organization
VITREO RETINAL CONSULTANTS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BOADA M.D. (PRESIDENT)
(787) 251-5280
Entity
Organization
Contact information
Practice address
2 AVE. KM 11.3, BAYAMON MEDICAL PLAZA SUITE 810, BAYAMON, PR 00959
(787) 251-5280
Mailing address
1 CALLE RODRIGUEZ SERRA, OLYMPIC TOWER 401, SAN JUAN, PR 00907-1496
(787) 251-5280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13255
PR
Other
Enumeration date
01/30/2007
Last updated
07/02/2008
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