Individual
MR. LORENZO BERBERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
95 CALLE PALMER, CANOVANAS, PR 00729-3108
(787) 236-8382
Mailing address
PO BOX 3002, RIO GRANDE, PR 00745-2906
(787) 909-8343
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
647
PR
332H00000X
Eyewear Supplier
Primary
647
PR
Other
Enumeration date
07/08/2010
Last updated
05/23/2014
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