Individual
DR. ANGEL MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
550 CARR 128, STE 106, YAUCO, PR 00698-4434
(787) 267-7829
(787) 267-7829
Mailing address
550 CARR 128, STE 106, YAUCO, PR 00698-4434
(787) 267-7829
(787) 267-7829
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
545
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03321
AMERICAN HEALTH
PR
01
—
068-660588611-068545
GLOBAL HEALTH PLAN
PR
01
—
215111
PREFERRED HEALTH
PR
01
—
55379AM
SSS
PR
01
—
7126
FIRST MEDICAL
PR
01
—
890159
MMM
PR
Enumeration date
06/13/2005
Last updated
07/19/2012
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