| |
506 Calle Truncado Suite A122, Plaza Del Norte, Hatillo, PR 00659-2737 | |
(787) 880-3860 | |
(954) 312-9316 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center |
Location | 506 Calle Truncado Suite A122, Hatillo, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740624642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Laura Solano |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134176001 PECOS PAC ID: 7113157561 Enrollment ID: I20140304000454 |
Mailing Address | Practice Location Address |
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32010 Calle Livistonia A-16, Ubr Palmar Dorado Norte, Dorado, PR 00646-8302 Ph: (787) 880-3860 | 506 Calle Truncado Suite A122, Plaza Del Norte, Hatillo, PR 00659-2737 Ph: (787) 880-3860 |