Individual
DR. MAGDA IRIS DIAZ VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
AVE LOS VETERANOS CARR. #3 KM 134.7, WALMART, PLAZA GUAYAMA, GUAYAMA, PR 00784
(787) 605-1943
Mailing address
PO BOX 629, GUAYAMA, PR 00785-0629
(787) 605-1943
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
618
PR
Other
Enumeration date
06/13/2006
Last updated
04/01/2011
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