Individual
MR. SANDRA IRIZARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
HC02 BOX 35214, ARECIBO, PR 00612
(787) 816-7396
(787) 815-4466
Mailing address
PO BOX 9662, ARECIBO, PR 00613-9662
(787) 816-7396
(787) 815-4466
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
447
PR
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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