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Individual

TAMARA SANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
URB. FOREST HILLS, CALLE 25 C-21 L OCAL NUM.2, BAYAMON, PR 00959
(787) 785-3374
(787) 785-3374
Mailing address
URB. FOREST HILLS, CALLE 25 C-21 L OCAL NUM.2, BAYAMON, PR 00959
(787) 785-3374
(787) 785-3374

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
218
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55292
TRIPLE-S PROVIDER ID
PR
Enumeration date
05/10/2007
Last updated
07/10/2007
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