Individual
IDALIA MAGALY COLON MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
PRYMED VISION, CARR 149 KM 12.3, CIALES, PR 00638
(787) 374-3404
Mailing address
P.O. BOX 2142, OROCOVIS, PR 00720
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
698
PR
Other
Enumeration date
03/12/2014
Last updated
02/27/2019
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