Individual
MRS. NYDIA M. RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
761
Contact information
Practice address
AVE.BARALT CALLE PRINCIPAL, I-8, FAJARDO, PR 00738-0008
(787) 514-7696
Mailing address
PO BOX 255, LUQUILLO, PR 00773-0255
(787) 514-7696
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
761
PR
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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