Organization
RETINA CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRES EMANUELLI ANZALOTTA M.D. (PRESIDENT)
(787) 680-7222
Entity
Organization
Contact information
Practice address
58 CALLE PONCE DE LEON, URB. GARCIA, ARECIBO, PR 00612-4315
(787) 680-7222
(787) 680-7223
Mailing address
PO BOX 2770, ARECIBO, PR 00613-2770
(787) 680-7222
(787) 680-7223
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16978
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LIC MD 16978
LIC MD
PR
Enumeration date
11/01/2012
Last updated
11/01/2012
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