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NPI Code Detail

MEDICARE: DR. ELGA ENID CHAVES O.D.

MEDICARE:  DR. ELGA ENID CHAVES  O.D.
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
1152W00000XOptometrist376PR

General Provider Information

NPI Number : 1942366455
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELGA ENID CHAVES O.D.
Provider Business Mailing Address
First Line : PO BOX 5140
Second Line :
City : SAN SEBASTIAN
State : PR
Zip : 00685-5140
Country : US
Telephone Number : 787-896-7021
Fax Number : 787-896-7041
Provider Business Practice Location Address
First Line : 4100 AVE ARCADIO ESTRADA
Second Line : SAN SEBASTIAN SHOPPING CENTER
City : SAN SEBASTIAN
State : PR
Zip : 00685-3216
Country : US
Telephone Number : 787-896-7021
Fax Number : 787-896-7041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ELGA ENID CHAVES O.D.” Practice Location

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