Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 346 | PR |
NPI | 1003052853 |
---|---|
Provider Name | Ramon Morales |
First Address | Carolina, PR 00984 |
Second Address | Carolina, PR 00985 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2008 |
Last Update Date | 21/08/2017 |