Organization
CENTRO DE DIAGNOSTICO Y TRATAMIENTO OFTALMOLOGICO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA H BERROCAL FERNANDEZ MD (PRESIDENT)
(787) 725-9315
Entity
Organization
Contact information
Practice address
AVE DE DIEGO 150, SUITE 404, SAN JUAN, PR 00907
(787) 725-9318
(787) 724-4654
Mailing address
PO BOX 41281, SAN JUAN, PR 00940-1281
(787) 725-9315
(787) 724-4654
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28337
—
PR
Enumeration date
12/13/2005
Last updated
10/10/2018
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