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Individual

MR. FABIAN VALLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
AVENIDA COMERIO CC33, RIO HONDO, BAYAMON, PR 00961
(787) 269-7300
(787) 269-7300
Mailing address
2Q6 CALLE 17, MIRADOR BAIROA, CAGUAS, PR 00727-1006
(787) 703-4411
(787) 703-4411

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
343
PR
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
01/02/2007
Last updated
02/14/2023
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