Organization
OPTICA SANTA ROSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNIECEL IRIZARRY OD (OPTOMETRIST)
(787) 612-8118
Entity
Organization
Contact information
Practice address
LOCAL 1 AVE MAIN BLOQUE 31 #49, URB SANTA ROSA, BAYAMON, PR 00959
(787) 612-8118
Mailing address
COND ACQUALINA, 186 CARR 2 APT 404, GUAYNABO, PR 00966
(787) 612-8118
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
659
PR
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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