Individual
MRS. MAYRA IRIZARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 CALLE COMERCIO, JUANA DIAZ, PR 00795-1633
(787) 205-1170
(787) 837-9608
Mailing address
PO BOX 561002, GUAYANILLA, PR 00656-3002
(787) 205-1170
(787) 837-9608
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
864
PR
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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