Organization
ADVANCED GLAUCOMA AND OPHTHALMOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANETTE M DE LEON M.D. (SOLE MEMBER)
(787) 717-3068
Entity
Organization
Contact information
Practice address
572 AVE CESAR GONZALEZ, HATO REY, SAN JUAN, PR 00918
(787) 764-4066
Mailing address
RR 36 BOX 8233, SAN JUAN, PR 00926-9562
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17637
PR
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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