Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 656 | PR |
NPI | 1013155084 |
---|---|
Provider Name | Dr. Rosaleen Marie Bobonis Quiles |
First Address | San Juan, PR 00926-4641 |
Second Address | Bayamon, PR 00956-4954 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2009 |
Last Update Date | 22/09/2020 |