Individual
IVELISSE ALEJANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
CARR 14 BO MONTELLANO, HOSPITAL MENONITA 205, CAYEY, PR 00736
(787) 535-1032
(787) 738-5161
Mailing address
151 CALLE LA CIMA, GRAN VISTA 1, GURABO, PR 00778-5006
(787) 535-1032
(787) 738-5161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
538
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
538
LICENCE
PR
Enumeration date
05/21/2007
Last updated
07/08/2007
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