Raul Cruz Detres O.D.

NPI 1649353137 - Optometrist - 152W00000X

NPI Details
NPI 1649353137
Gender Male
Enumeration Date 10/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
AGUADILLA MALL
AGUADILLA PR, 00603, US
Phone (787) 882-0077
Fax (787) 882-0079
Business Location
3112 AVE JUAN HERNANDEZ ORTIZ
ISABELA PR, 00662-3614, US
Phone (787) 872-6515
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Puerto Rico
License Number 267
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According to our database, Raul Cruz Detres O.D. NPI is 1649353137, taxonomy code is 152W00000X and license number is 267, license state is located at Puerto Rico. Raul Cruz Detres O.D. physically located at Aguadilla Mall, Aguadilla PR, 00603. NPI Number Raul Cruz Detres O.D. has the Individual type.

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1649353137 NPI number is provided on an as is basis without warranty of any kind. 1649353137 is maintained by the National Plan & Provider Enumeration System. The contents of Raul Cruz Detres O.D. are for informational purposes only.