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Individual

ELLIOTT RODRIGUEZ

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2 TENIENTE ALVARADO ST, YAUCO, PR 00698-3538
(787) 856-8253
(787) 856-3141
Mailing address
2 TENIENTE ALVARADO ST, YAUCO, PR 00698-3538
(787) 856-8253
(787) 856-3141

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0248
PR

Other

Enumeration date
12/21/2005
Last updated
07/08/2007
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