Individual
DR. EZEAGWULA CHIKWENDU EBUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
EYE EXPRESS 20-20, PLAZA RIAL 185, KM .9, SUITE # 3, CANOVANAS, PR 00729
(787) 876-5511
(787) 876-5511
Mailing address
PO BOX 938, CANOVANAS, PR 00729-0938
(787) 876-5511
(787) 876-5511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
167
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0688
FIRST MEDICAL
PR
01
—
58085
TRIPLE S
PR
01
—
6290051
HUMANA
PR
Enumeration date
05/04/2007
Last updated
01/15/2024
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