Provider Demographics
NPI:1518940857
Name:TABOAS, EDUARDO P (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:P
Last Name:TABOAS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PASEO ALTO
Mailing Address - Street 2:46 STREET 2
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5918
Mailing Address - Country:US
Mailing Address - Phone:787-767-0599
Mailing Address - Fax:787-756-0774
Practice Address - Street 1:TORRE DE PLAZA, SUITE 705
Practice Address - Street 2:525 AVE. ROOSEVELT
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-767-0599
Practice Address - Fax:787-756-0774
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR8106207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology