Individual
IDA RAQUEL CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
21 CALLE SANTIAGO VIDARTE, YABUCOA, PR 00767-3312
(787) 893-0643
(787) 893-0643
Mailing address
11 CALLE SANTIAGO VIDARTE, YABUCOA, PR 00767-3303
(787) 638-4165
(787) 893-0643
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
575
PR
Other
Enumeration date
09/06/2006
Last updated
08/15/2018
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