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Individual

ELIBET MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OP

Contact information

Practice address
INTERAMERICANA DEVELOPMENT, AH6 CALLE 12, TRUJILLO ALTO, PR 00976
(787) 617-5018
Mailing address
INTERAMERICANA DEVELOPMENT, AH6 CALLE 12, TRUJILLO ALTO, PR 00976
(787) 617-5018

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1260
PR

Other

Enumeration date
07/25/2019
Last updated
07/25/2019
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