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Ezequiel Molina Diaz, OD

Optometrist in Comerio, PR. Individual provider (NPI-1).

NPI number1124848874
StatusActive
Last updated in NPPESOct 16, 2024

Details

NPI
1124848874
Entity type
Individual (NPI-1)
Name
Ezequiel Molina Diaz
Credential
OD
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 16, 2024
Certification date
Oct 16, 2024
Last updated
Oct 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist779PRYes

Practice location

34 Calle Georgetti
Comerio, PR 00782-2539

Phone 787-735-1974

Mailing address

Hc 6 Box 12424
Corozal, PR 00783-7815

Phone 939-252-4502

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