Individual
DR. LUIS E MORA-ANTONGIORGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
525 AVE ROOSEVELT, PLAZA LAS AMERICAS LENSCRAFTERS 0474, SAN JUAN, PR 00918
(787) 753-6431
(787) 753-0852
Mailing address
576 AVE ARTERIAL B APT 2309, SAN JUAN, PR 00918
(787) 892-1218
(787) 892-7480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
403-0029
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038172400
—
PR
Enumeration date
04/27/2007
Last updated
01/05/2022
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