Edison Marin O.D.

NPI 1063504439 - Optometrist - 152W00000X

NPI Details
NPI 1063504439
Gender Male
Enumeration Date 09/29/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
PEARLE VISION
5829 PLAZA ESCORIAL SUITE 105
CAROLINA PR, 00987, US
Phone (787) 276-3435
Fax (787) 276-4835
Business Location
PO BOX 361493
SAN JUAN PR, 00936-1493, US
Phone (787) 276-3435
Fax (787) 276-4835
Toxanomy
Taxonomy Code 152W00000X
License State Puerto Rico
License Number 393
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According to our database, Dr. Edison Marin O.D. NPI is 1063504439, taxonomy code is 152W00000X and license number is 393, license state is located at Puerto Rico. Edison Marin O.D. physically located at Pearle Vision, Carolina PR, 00987. NPI Number Edison Marin O.D. has the Individual type.

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1063504439 NPI number is provided on an as is basis without warranty of any kind. 1063504439 is maintained by the National Plan & Provider Enumeration System. The contents of Edison Marin O.D. are for informational purposes only.