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NPI Code Detail

MEDICARE: PEREZ TOSSAS OPTOMETRIST

MEDICARE: PEREZ TOSSAS OPTOMETRIST
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
1261Q00000XClinic/Center300PR

General Provider Information

NPI Number : 1144405614
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEREZ TOSSAS OPTOMETRIST
Provider Business Mailing Address
First Line : 35 JUAN C. BORBON
Second Line : PMB 147 SUITE 67
City : GUAYNABO
State : PR
Zip : 00969-5375
Country : US
Telephone Number : 787-287-0353
Fax Number : 787-287-0353
Provider Business Practice Location Address
First Line : 35 CALLE JUAN C BORBON
Second Line : PMB 147 SUITE 67
City : GUAYNABO
State : PR
Zip : 00969-5374
Country : US
Telephone Number : 787-287-0353
Fax Number : 787-287-0353
Authorized Official
Title or Position : OPTOMETRIST
Name : BLANCA PEREZ
Credential : O.D
Telephone Number : 787-287-0353
Provider Enumeration Date : 01/03/2008
Last Update Date : 01/03/2008

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Directions to “PEREZ TOSSAS OPTOMETRIST ” Practice Location

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