Provider Demographics
NPI:1851335921
Name:CABELLO, IRIS R (OD)
Entity Type:Individual
Prefix:DR
First Name:IRIS
Middle Name:R
Last Name:CABELLO
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:COND RIBERAS DEL RIO
Mailing Address - Street 2:A 14 C/9
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-8899
Mailing Address - Country:US
Mailing Address - Phone:787-306-5752
Mailing Address - Fax:787-786-7321
Practice Address - Street 1:ELEANOR ROOSEVELT
Practice Address - Street 2:#118
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00919
Practice Address - Country:US
Practice Address - Phone:787-765-1915
Practice Address - Fax:787-765-9854
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR293152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist