Organization
EYE SURGERY SPECIALISTS OF PUERTO RICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TIRADO M.H.S.A. (EXECUTIVE DIRECTOR)
(787) 721-8330
Entity
Organization
Contact information
Practice address
809 HIPODROMO STREET, SANTURCE, PR 00909
(787) 721-8330
(787) 722-3222
Mailing address
BOX 8407, SAN JUAN, PR 00910-8407
(787) 721-8330
(787) 722-3222
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
10/31/2012
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