Individual
JOSE L BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1116 AVE PONCE DE LEON, SAN JUAN, PR 00907-3802
(787) 299-5828
Mailing address
3GN2 VIA 65, CAROLINA, PR 00983-4622
(787) 299-5828
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
517
PR
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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