Provider Demographics
NPI:1598877433
Name:FREIRE, MARIA I (OD)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:I
Last Name:FREIRE
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:COND COLINAS DEL BOSQUE # 1150
Mailing Address - Street 2:CARR.2 APT.1
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7370
Mailing Address - Country:US
Mailing Address - Phone:787-615-3332
Mailing Address - Fax:787-752-5338
Practice Address - Street 1:COND COLINAS DEL BOSQUE # 1150
Practice Address - Street 2:CARR. 2 APT. 1
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7370
Practice Address - Country:US
Practice Address - Phone:787-615-3332
Practice Address - Fax:787-752-5338
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2013-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR130152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist