MEDICARE: CARMEN R HESS OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	H255	PR

General Provider Information

NPI Number	:	1538142914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN R HESS OD

Provider Business Mailing Address
First Line	:	BALDORIOTY 64
Second Line	:
City	:	SALINAS
State	:	PR
Zip	:	00751
Country	:	US
Telephone Number	:	787-824-4111
Fax Number	:	787-824-4111

Provider Business Practice Location Address
First Line	:	BALDORIOTY 64
Second Line	:
City	:	SALINAS
State	:	PR
Zip	:	00751
Country	:	US
Telephone Number	:	787-824-4111
Fax Number	:	787-824-4111

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	07/08/2007

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Directions to “ CARMEN R HESS OD” Practice Location

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