Individual
DR. VASSILIOS BOULOUGOURIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
118 CALLE ELEONOR ROOSEVELT, SAN JUAN, PR 00918-3105
(787) 765-1915
Mailing address
PO BOX 364621, SAN JUAN, PR 00936-4621
(787) 365-5584
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
277
PR
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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