Individual
BRENDA E RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
ALBACETTE 518 URB VALENCIA, SAN JUAN, PR 00923
(787) 529-8857
Mailing address
518 CALLE ALBACETE, SAN JUAN, PR 00923-1620
(787) 529-8857
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
401
PR
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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