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Individual

HIRAM OLMEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPTICO

Contact information

Practice address
14 CALLE ANTONIO LOPEZ, HUMACAO, PR 00791-4224
(787) 460-4255
(787) 285-1250
Mailing address
PO BOX 1, HUMACAO, PR 00792-0001
(787) 460-4255

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
488
PR
332H00000X
Eyewear Supplier

Other

Enumeration date
09/17/2006
Last updated
04/28/2021
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