Individual
RAFAEL AMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
525 AVE FD ROOSEVELT STE 140, SAN JUAN, PR 00918-8020
(787) 753-1033
Mailing address
73 PLACID COURT, 3-C, SAN JUAN, PR 00907
(787) 753-1033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
113
PR
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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