Individual
MAYRA RULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
118 CALLE ELEONOR ROOSEVELT, IAU SCHOOL OF OPTOMETRY, SAN JUAN, PR 00918-3105
(787) 765-1915
Mailing address
148 CALLE MIRAMONTE, GRAN VISTA I, GURABO, PR 00778-5007
(787) 765-1915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
146
PR
Other
Enumeration date
06/04/2007
Last updated
10/16/2012
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