Most Relevant Information
Provider Data
| NPI Number: | 1003455023 |
| Provider Name: | GINALETTE TALAVERA RODRIGUEZ OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 746-447 |
Most Important Dates
| Enumeration Date: | 12/23/2019 |
| Last Updated: | 12/23/2019 |
Provider Practice Location
2 CALLE COLON STE 16
AGUADA
PR
006023167
Practice Location Phone/Fax
| Phone: | 7875897468 |
| Fax: | 7875897469 |
Provider Mailing Location
2 CALLE COLON STE 16
AGUADA
PR
006023167
Provider Mailing Phone/Fax
| Phone: | 7875897468 |
| Fax: | 7875897469 |