Provider Demographics
NPI:1689865545
Name:ANTUNEZ, DORIS MARGARITA (OD)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:MARGARITA
Last Name:ANTUNEZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:MG56 PLAZA 31
Mailing Address - Street 2:MARINA BAHIA
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962-6778
Mailing Address - Country:US
Mailing Address - Phone:787-390-2490
Mailing Address - Fax:787-788-3798
Practice Address - Street 1:MG56 PLAZA 31
Practice Address - Street 2:MARINA BAHIA
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962-6778
Practice Address - Country:US
Practice Address - Phone:787-390-2490
Practice Address - Fax:787-788-3798
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR126152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management