Individual
MR. JOSE BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.O.
Contact information
Practice address
HR22 VIA 15, VILLA FONTANA, CAROLINA, PR 00983-3921
(939) 244-9517
Mailing address
HR22 VIA 15, VILLA FONTANA, CAROLINA, PR 00983-3921
(939) 244-9517
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
480
PR
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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