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Individual

DR. IVETTE BURGOS-IRIZARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2050 PONCE BY PASS, SUITE 101, PONCE, PR 00717
(787) 259-8882
Mailing address
2050 PONCE BY PASS, PLAZA DEL CARIBE SUITE 101, PONCE, PR 00717
(939) 717-0257

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000325
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20-8111938
TAX ID#
Enumeration date
04/13/2007
Last updated
02/15/2018
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