Individual
CORALYS DEL MAR MIRANDA-MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 CALLE RIMAC, BARCELONETA, PR 00617-9453
(787) 450-3756
Mailing address
144 CALLE RIMAC, BARCELONETA, PR 00617-9453
(787) 970-8100
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1330
PR
Other
Enumeration date
05/20/2024
Last updated
05/31/2024
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