Individual
RAYMOND ANTONIO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE CORAL LOMAS VERDES, V 16, BAYAMON, PR 00956
(787) 779-9088
Mailing address
CALLE CORAL LOMAS VERDES, V 16, BAYAMON, PR 00956
(787) 779-9088
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1318
PR
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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