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DR. ANGEL ROBERTO AMEZAGA MD

>> Ophthalmology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1912989146

Individual Registrant:
DR. ANGEL ROBERTO AMEZAGA MD
Gender: M
Sole Proprietor

Location and contact information for practice:
3FS 11 AVE. FRAGOSO VILLA FONTANA CAROLINA, PR 00983 US
Tel: 787-752-6355  Fax: 787-769-2180

Contact information for business:
PO BOX 362674  SAN JUAN, PR 00936-2674 US
Tel: 787-752-6355  Fax: 787-769-2180

Registration Information:
NPI: 1912989146
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207W00000XAllopathic & Osteopathic Physicians
Ophthalmology
PR6416

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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