Organization
OJOS PUERTO RICO RETINA, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STELLA M CASILLAS (RETINOLOGA)
(787) 820-8989
Entity
Organization
Contact information
Practice address
1890 CALLE PETUNIA, SANTA MARIA, SAN JUAN, PR 00927-6637
(787) 820-8989
(787) 820-8989
Mailing address
300 AVE LA SIERRA APT 101, SAN JUAN, PR 00926-4339
(787) 820-8989
(787) 820-8989
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17473
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17473
LICENCIA
PR
Enumeration date
07/27/2011
Last updated
07/27/2011
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