Individual
MELISSA ERAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPT
Contact information
Practice address
CARR. 167 URB. RIVERVIEW, CALLE#36 ZA-19, BAYAMON, PR 00957
(787) 780-3969
(787) 780-3969
Mailing address
HC 8 BOX 68920, ARECIBO, PR 00612-6125
(787) 815-0169
(787) 815-4466
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1326
PR
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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