Individual
IRIS NEREIDA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 CALLE 3, HUMACAO, PR 00791-3422
(939) 777-5900
Mailing address
42 CALLE 3, HUMACAO, PR 00791-3422
(939) 777-5900
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1259
—
156FX1800X
Optician
—
PR
156FX1800X
Optician
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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