Individual
ELAN RAYAN BAEZ SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
951 CARR 891 STE 201, PLAZA DEL CARMEN, COROZAL, PR 00783
(787) 359-6904
Mailing address
PO BOX 94000, COROZAL, PR 00783-9481
(787) 359-6904
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1353
PR
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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