Individual
MRS. CARMEN ROSA CABAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OPTICIAN LIC 153
Contact information
Practice address
CENTRO COMERCIAL COOP 1, ISABELA, PR 00662
(787) 872-2977
(787) 830-3216
Mailing address
PO BOX 1429, ISABELA, PR 00662-1429
(787) 872-2977
(787) 830-3216
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
153
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051831
MEDICARE Y MUCHO MAS CRUZ
PR
01
—
54595
TRIPLE SSS
PR
Enumeration date
04/27/2006
Last updated
07/08/2007
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