Organization
EASTERN RETINA CONSULTANTS OF PUERTO RICO, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL ALBERTO BENITEZ BAJANDAS M.D. (PRESIDENT)
(787) 697-1171
Entity
Organization
Contact information
Practice address
#15 AVE. PADRE RIVERA, HUMACAO, PR 00791
(787) 852-6825
(787) 850-5005
Mailing address
#15 AVE. PADRE RIVERA, HUMACAO, PR 00791
(787) 852-6825
(787) 850-5005
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
339876
PR
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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