Medicare y Mucho MÃ¡s HMO, SNP & POS Plan Provider and ... - MMM

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Section 1 - IntroductionThis directory provides a list of MMM's network providers. To get detailed information about your health carecoverage, please see your Evidence of Coverage.You will have to choose one of our network providers who are listed in this directory to be your Primary Care Physician(PCP). The term "PCP" will be used throughout this directory. Generally, you must get your healthcare coverage fromyour PCP. A PCP is a physician with a specialty in internal, family, general practice or geriatric medicine to which youwill have direct access without a referral and who has a direct or indirect contractual arrangement with the plan. A PCPprovides you initial and primary care services, maintains the continuity of your medical care and initiates and managesreferrals to other network providers as required by your medical needs or as established in your coverage.The "network providers" listed in this directory have agreed to provide you with your healthcare coverage. You may goto any of our network providers listed in this directory; however, some services may require a referral orpreauthorization. If you have been going to one network provider, you are not required to continue going to that sameprovider. In some cases, you may get covered services from non-network providers. To receive services from a nonplan provider you will require prior authorization from the plan.What if I use non plan providers to obtain my covered services?"Non plan providers" are providers that are not part of MMM. If you use non plan providers, you may have to paymore.Care or services you receive from non plan providers will not be covered, except for ambulance services, emergencycare, including hospital care after you are stable (post stabilization), maintenance care, urgently needed care, renaldialysis (kidney), and any services which were ordered or covered through an appeals process or if you have a coveragewith Point of Service (POS) option.Please note that under the HMO POS coverages you have a Point-of-Service (POS) option. The POS option allowsyou to get care from non contracted providers and hospitals when you are outside the service area. You may receive allplan covered services, but you will need to pay higher cost sharing than the one you pay when using network providers.This is not the same benefit as visiting out of network physicians and/or hospitals during an emergency or an urgent caresituation. Please refer to Chapter 3 and Chapter 4 of your Evidence of Coverage for more information about your POScost sharing, cap on the dollar amount and prior authorization requirements.Page 9
Page 1 and 2: Medicare y Mucho MásHMO, SNP & POS
Page 3 and 4: Section 2 - List of Providers by Sp
Page 5 and 6: Section 2 - List of Pharmacies by M
Page 7: Provider DirectoryPage 7
Page 11 and 12: What should you do if it is not a m
Page 13 and 14: Section 2 - List of Providers by Sp
Page 15 and 16: Ambulance Service SupplierAguadilla
Page 17 and 18: Ambulance Service SupplierGuayanill
Page 19 and 20: Ambulance Service SupplierSERGIO AM
Page 21 and 22: Ambulatory Surgical CenterBayamónM
Page 23 and 24: AnesthesiologyRODRIGUEZ COLOM,JOSE
Page 25 and 26: AnesthesiologyNAVARRO RODRIGUEZ,JOS
Page 27 and 28: AudiologistMedical management ofvoi
Page 29 and 30: O'NEILL DE JESUS,JEAMILETTELorraine
Page 31 and 32: CardiologyGARCIA CORTES,FRANCISCO M
Page 33 and 34: CardiologyMARTI LON, MARIADEL P.Aco
Page 35 and 36: DONES FIGUEROA,WISTREMUNDORyder Mem
Page 37 and 38: CardiologyENGEL RAMOS,ROBERT ATorre
Page 39 and 40: DUQUELA BARON,JUAN LArzuaga 71San J
Page 41 and 42: CardiologyROMAN IRIZARRY,LUIS AUrb
Page 43 and 44: ChiropractorDIAZ TORRES,WILLIAM FUr
Page 45 and 46: ChiropractorOTERO GONZALEZ,OSCAR OU
Page 48 and 49: DentistRODRIGUEZRODRIGUEZ, RICARDOE
Page 50 and 51: DentistAGUIRRE CORDERO,JOSE AUrb Si
Page 52 and 53: DentistNARVAEZ RIVERA,MAYRA ERoyal
Page 54 and 55: DentistDIAZ DIAZ, GIL ACalle Rufo 1
Page 56 and 57: DentistSANCHEZ PEREZ, JO-AN MPlaza
Page 58 and 59:
DentistCORREA CARRO,DESIREEBarbosa
Page 60 and 61:
DentistTIRADO MANZANO,LUIS MMendez
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DentistRIVERA SANFIORENZO,SAIRA IMa
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DentistRIVERA COLON, SMITH ORTIZ, A
Page 66 and 67:
DentistRIVERA ZAYAS, MARIOELos Patr
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DentistRAMIREZ DEARELLANO, UBALDO J
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DentistLUGO GUITIERREZ,FABIEL ATorr
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DentistRAMIREZ DEARELLANO, JORGE LD
Page 74 and 75:
DentistGUZMAN GARCIA,ARNALDO JPonce
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DentistPEREZ LAUSELL,MARICEL JCalle
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DentistIRAVEDRA GONZALEZ,LUIS CUrb
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DentistAYMAT RODRIGUEZ,WANDA MCalle
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DermatologyTORRES BERRIOS,LOYDA SEd
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DermatologyGONZALEZ RIOS, EDILLas A
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Dialysis CenterLaresNaranjitoSan Ju
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Emergency MedicineSan JuanALVAREZ R
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EndocrinologyLOPEZ CARDONA,JULIO CB
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EndocrinologyGOMEZ CUELLAR,MARTHA Y
Page 94 and 95:
Family PracticeRODRIGUEZ VELLON,YAZ
Page 96 and 97:
Family PracticeZAYAS TORO, ILIA EPr
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Family PracticePEREZ VELAZQUEZ,MARL
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Family PracticePILLOT COSTAS, JUANR
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Family PracticeRODRIGUEZ RAMOS,JOSE
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Family PracticeFUCILE NELSON,MICHAE
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Family PracticeBELTRAN MELENDEZ,JOS
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Family PracticeSan SebastiánACEVED
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Family PracticeMARIN VIEIRA,RADAMES
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GastroenterologyGASTROENTEROLOGIARC
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GastroenterologyMORALES JORGE,AHMED
Page 116 and 117:
GastroenterologyPASTRANA LABORDE,RA
Page 118 and 119:
General PracticeSAWI HAFEZ, BAHIRAP
Page 120 and 121:
General PracticePEREZ BAILON,ESTEBA
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General PracticeMARIN ESPIET, JUAN
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General PracticeALVAREZ MARTINEZ,NI
Page 126 and 127:
General PracticeCOLON COLON,OSVALDO
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General PracticeENCARNACION FERRAN
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General PracticeREYES MARTINEZ,LIZB
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General PracticeCabo RojoASENCIO MO
Page 134 and 135:
General PracticeBONET VELEZ, IVETTE
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General PracticeNAVARRO HEALTHCENTE
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General PracticeLOPEZ CORDERO,VIONE
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General PracticeSIMONS FELIX, VICTO
Page 142 and 143:
General PracticeRODRIGUEZ DELGADO,I
Page 144 and 145:
General PracticeRODRIGUEZ RIVERA,HA
Page 146 and 147:
General PracticeComeríoAFANADORMON
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General PracticeECHEANDIA FUSTER,RA
Page 150 and 151:
General PracticeRUIZ MESTEY, IRAIDA
Page 152 and 153:
General PracticeALVAREZ MOLINA,CARL
Page 154 and 155:
General PracticeDEL RIO CORDERO,JOS
Page 156 and 157:
General PracticePEREZ MARRERO,MARIA
Page 158 and 159:
General PracticeBENERO FONT,CRISTIN
Page 160 and 161:
General PracticeFIGUEROA NOGUES,FAN
Page 162 and 163:
General PracticeRAMOS FIGUEROA,LIZA
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General PracticeBELTRAN MORALES,FRA
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General PracticeARROYO PEÑA,EFRAIN
Page 168 and 169:
General PracticeRIVERA VALE, PABLOP
Page 170 and 171:
General PracticeRODRIGUEZ ORTIZ,MAR
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General PracticeBERDIEL APONTE,MIGU
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General PracticePEREZ VELAZQUEZ,LOU
Page 176 and 177:
General PracticeRAMIREZ GONZALEZ,ED
Page 178 and 179:
General PracticeMORALES DIAZ,ISMAEL
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General PracticeSan JuanABRAHAM GON
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General PracticeFERNANDEZ DELGADO,J
Page 184 and 185:
General PracticeMIRALLES ALONSO,FER
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General PracticeROMANY RODRIGUEZ,JO
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General PracticeGERENA RAMIREZ,GRIS
Page 190 and 191:
General PracticePAGAN MORALES,ERIC
Page 192 and 193:
General PracticeMALTES RAINIERI, AN
Page 194 and 195:
General PracticePELET GIRAUD,YAIRAM
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General PracticeCAPARROS GONZALEZ,J
Page 198 and 199:
General PracticeGARCIA CRUZ,FERNAND
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General PracticeCORADIN RUIZ,RAFAEL
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General SurgeryAreciboARIAS HERNAND
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General SurgeryGuayamaANGELI VELAZQ
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General SurgeryRAMIREZ LIZARDI,EDUA
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General SurgeryITURREGUI PAGAN,MIGU
Page 210 and 211:
Geriatric MedicineGuaynaboPADILLA M
Page 212 and 213:
HematologyHematologySpecialty that
Page 214:
Hematology And OncologyRUIZ CANDELA
Page 217 and 218:
Hematology And OncologyGONZALEZRODR
Page 219 and 220:
Home Health AgencySAN LUCAS HOMECAR
Page 221 and 222:
MANATI MEDICALCENTER DR OTEROLOPEZU
Page 223 and 224:
FUXENCH LOPEZ,ZELMA ZInstituto San
Page 225 and 226:
FABIAN ARGUETA,MIRELIS M300 Bouleva
Page 227 and 228:
Internal MedicinePADIN GOMEZ,ALBERT
Page 229 and 230:
Internal MedicineBarcelonetaPEREZ G
Page 231 and 232:
Internal MedicineFORTI ISALES, LUIS
Page 233 and 234:
Internal MedicineTORRES VARELA, JOS
Page 235 and 236:
Internal MedicineMENDOZA CASTRO,VER
Page 237 and 238:
Internal MedicineMUNET QUINTERO,AMI
Page 239 and 240:
CorozalBAHRI JOVET, DALEDPrimary Ca
Page 241 and 242:
Internal MedicineDELGADO MOURA,JANI
Page 243 and 244:
Internal MedicineVELAZQUEZ LOZADA,I
Page 245 and 246:
Internal MedicineMENDEZ AYALA,MONIC
Page 247 and 248:
RIVERA SANTIAGO,JOSE APrimary Care
Page 249 and 250:
Internal MedicineGARCIA RODRIGUEZ,A
Page 251 and 252:
SANCHEZ MONTAÑO,JUAN JPrimary Care
Page 253 and 254:
Internal MedicineARIZA ARIAS, CARLO
Page 255 and 256:
Internal MedicineGUIOT MARTINEZ,HUM
Page 257 and 258:
Internal MedicineNEGRON MORALES,LUI
Page 259 and 260:
Internal MedicineSEPULVEDAMONTALVO,
Page 261 and 262:
Internal MedicineOLIVO CRESPO,NESTO
Page 263 and 264:
Laboratories, Clinical Medical Labo
Page 265 and 266:
Page 267 and 268:
Page 269 and 270:
Page 271 and 272:
Page 273 and 274:
Page 275 and 276:
Page 277 and 278:
Page 279 and 280:
Page 281 and 282:
Page 283 and 284:
LAB. CLINICO LICERMuñoz Rivera 5Sa
Page 285 and 286:
Page 287 and 288:
Maxillofacial SurgeryGuayamaJIMENEZ
Page 289 and 290:
Medical Supply CompanyGOLDEN MEDICA
Page 291 and 292:
GuánicaGRC HOSPITAL ANDMEDICAL SUP
Page 293 and 294:
Medical Supply CompanySan JuanHATO
Page 295 and 296:
NephrologyLABOY RAMOS,VICENTEEdif G
Page 297 and 298:
NephrologyMELENDEZ MARTINEZ,OLGA IF
Page 299 and 300:
NephrologyREYES VALE,FRANCISCO JEdi
Page 301 and 302:
NeurologyAreciboGOITIA RIOS, DARIO
Page 303 and 304:
NeurologyGONZALEZ DIAZ,MERBIL RMedi
Page 305 and 306:
WISCOVITCHGUZMAN, MARIA DELOS MTorr
Page 307 and 308:
PonceBAEZ CARATINI, RENEMEdif Parra
Page 309 and 310:
NutritionistCORTES MOLINA,HERALDASa
Page 311 and 312:
Obstetrics And GynecologyAñascoGON
Page 313 and 314:
Obstetrics And GynecologyNAVAS MICH
Page 315 and 316:
Obstetrics And GynecologyJULIA MART
Page 317 and 318:
Obstetrics And GynecologyOTERO QUIN
Page 319 and 320:
Obstetrics And GynecologyORTIZ ORAM
Page 321 and 322:
Obstetrics And GynecologyNEGRONCASA
Page 323 and 324:
Obstetrics And GynecologyUtuadoGONZ
Page 325 and 326:
Ophtalmology,GlaucomaSpecialty dedi
Page 327 and 328:
OphthalmologyRODRIGUEZ ROSA,RICARDO
Page 329 and 330:
OphthalmologySANCHEZ CASTRO,SYLVIA
Page 331 and 332:
OphthalmologyDEL TORO COLBERG,RODOL
Page 333 and 334:
OphthalmologyMONTES PAGAN, JOSERTor
Page 335 and 336:
Optical CenterPEARLE VISION #7209Sa
Page 337 and 338:
OpticianCarolinaLAGO MARGENAT,MARIA
Page 339 and 340:
OptometryMARTINEZ PAGAN,LIZA DAguad
Page 341 and 342:
OptometryNIEVES TORRES,YOLANDAPlaza
Page 343 and 344:
OptometryCARRION VILELLA,AUGUSTO EP
Page 345 and 346:
OptometryNIEVES TORRES,YOLANDAPlaza
Page 347 and 348:
SANGIOVANNI WILEY RAMOS, GRACEALMON
Page 349 and 350:
OptometryPEREZ DEL PILAR,EDWIN JEMA
Page 351 and 352:
OptometryRIVERA NEGRON, JOSEAPlaza
Page 353 and 354:
OptometryMARTINEZ RAMOS,JOSE LPlaza
Page 355 and 356:
OptometryCoamoBONILLA DAVILA,JORGE
Page 357 and 358:
OptometryWILEY RAMOS, GRACEMPlaza F
Page 359 and 360:
OptometryRUIZ GONZALEZ,YAIZACarr 2
Page 361 and 362:
PONCE VISION EXPESSCentro Comercial
Page 363 and 364:
OptometrySANCHEZ BRAS,FRANCES APlaz
Page 365 and 366:
OptometryBARBOSA TEXIDOR,LUIS E.Jar
Page 367 and 368:
OptometryMEDINA VARGAS,ANGELA MPlaz
Page 369 and 370:
OptometryRODRIGUEZ BARBOSA,JANET IA
Page 371 and 372:
FERNANDEZ PINTOS,RAFAEL APlaza Las
Page 373 and 374:
OptometryPACHECO GARCIA,SIXTO RPlaz
Page 375 and 376:
OptometrySUAREZ CASTRO,CARMEN MAve
Page 377 and 378:
Orthotist And OrProsthetistSpecialt
Page 379 and 380:
OtolaryngologyVELAZQUEZ ROUSSET,RUB
Page 381 and 382:
Pain Management - AnesthesiologyKRA
Page 383 and 384:
PathologyFajardoLOPEZ MARTIN, SARAA
Page 385 and 386:
PediatricsQUIÑONES GONZALEZ,JEFFRE
Page 387 and 388:
Peripheral Vascular DiseaseSan Juan
Page 389 and 390:
Physical Medicine And Rehabilitatio
Page 391 and 392:
Page 393 and 394:
Page 395 and 396:
Physical TherapistPEREZ BETANCOURT,
Page 397 and 398:
Physical TherapistSANTANA ESQUILIN,
Page 399 and 400:
PodiatryHERNANDEZ ORTIZ,CARLOSEdif.
Page 401 and 402:
ProceduralDermatologyPsychiatricHos
Page 403 and 404:
PsychiatryPOLO MARTINEZ, LUISMEdifi
Page 405 and 406:
MALDONADOMORALES,CONCEPCIONGuayama
Page 407 and 408:
PsychiatryDIEZ DELGADO,RICARDO8169
Page 409 and 410:
PsychiatryPUJOLS GONZALEZ,MARIA A11
Page 411 and 412:
PsychologistPADRON RODRIGUEZ,GUSTAV
Page 413 and 414:
PsychologistIRIZARRY, LUZCarr 848 E
Page 415 and 416:
PsychologistDEYNES EXCLUSA,YAZMINUr
Page 417 and 418:
PsychologistFELSL, ANNA ABo Cotto L
Page 419 and 420:
PsychologistCURBELO SERRANO,MARIA L
Page 421 and 422:
PsychologistSUAREZ GUILLEN,GISELLEA
Page 423 and 424:
Pulmonary MedicineMELENDEZ ROSA,MYR
Page 425 and 426:
ManatíAMILL ACOSTA,SAMUEL AUrb Ate
Page 427 and 428:
Pulmonary MedicineGARCIA RODRIGUEZ,
Page 429 and 430:
Radiation TherapyTOME DIAZ, JOSE AC
Page 431 and 432:
RadiologyDAVILA MARTINEZ,GLADIMIROC
Page 433 and 434:
GUAYAMADIAGNOSTICSAshford 1Guayama,
Page 435 and 436:
RadiologyX RAY DIAGNOSTICCENTERPost
Page 437 and 438:
GONZALEZ SEGUI,YVELISSEUrb Baldrich
Page 439 and 440:
ORTIZ ROBLES, TULIOLLevittown Imagi
Page 441 and 442:
RODRIGUEZ MayagüezHERNANDEZ, MARIS
Page 443 and 444:
RheumatologyAibonitoALVAREZ SWIHART
Page 445 and 446:
RheumatologyPonceANTOMMATTEIFRONTER
Page 447 and 448:
Single OrMultispecialtyClinic Or Gr
Page 449 and 450:
Single Or Multispecialty Clinic Or
Page 451 and 452:
Social Worker, ClinicalVALE VARGAS,
Page 453 and 454:
CamuyRAMOS CUBERO,WANDACarr 119 Km
Page 455 and 456:
Surgery, HandCaguasSOLER DE JESUS,H
Page 457 and 458:
Surgery, OrthopedicCaguasBARRETO SO
Page 459 and 460:
Surgery, OrthopedicVARGAS SOTO,HECT
Page 461 and 462:
Surgery, PediatricSurgery, Pediatri
Page 463 and 464:
Surgery, TraumaSurgeryMALDONADO MOL
Page 465 and 466:
Urgent Care PhysicianRODRIGUEZ VARG
Page 467 and 468:
Urgent Care PhysicianMUÑIZ VELAZQU
Page 469 and 470:
Urgent Care PhysicianPonceALVAREZ R
Page 471 and 472:
Urgent Care PhysicianSanta IsabelCA
Page 473 and 474:
UrologyNIEVES LATIMER, GIL JConsoli
Page 475 and 476:
San JuanBOUET BLASINI,RAFAELHospita
Page 477 and 478:
Pharmacy DirectoryPage 477
Page 479 and 480:
Section 1 - IntroductionThis bookle
Page 481 and 482:
Section 2 - List of Pharmacies by M
Page 483 and 484:
ARECIBOFARMACIA DELPUEBLO158 Ave Sa
Page 485 and 486:
BAYAMONBayamonBAYAMON MEDICALPHARMA
Page 487 and 488:
CABO ROJOFARMACIACUQUIMARStreet 101
Page 489 and 490:
CANOVANASCANOVANAS MI FARMACIA SANP
Page 491 and 492:
CAYEYWALGREENS5800 Ave Jesus T Pini
Page 493 and 494:
FAJARDOFARMACIA MONTEBRISASA21 Call
Page 495 and 496:
GURABOFARMACIA NAVARRO FARMACIACarr
Page 497 and 498:
JUANA DIAZFARMACIAGABRIELA14 Calle
Page 499 and 500:
MANATIFARMACIALAZARYA27 Calle 21Man
Page 501 and 502:
NAGUABOFARMACIA FREDDY17 Calle Muno
Page 503 and 504:
PONCEWALGREENS2979 Ave Emilio Fagot
Page 505 and 506:
SAN GERMANKMARTPHARMACYPr 2 Castro
Page 507 and 508:
SAN JUANFARMACIAYARIMAR903 Calle 31
Page 509 and 510:
Santa IsabelFARMACIAGONZALEZCarr 15
Page 511 and 512:
VEGA ALTAEL COROZOFARMACIA YDISCOUN
Page 513 and 514:
Chain PharmaciesCOSTCO1-800-774-267
Page 515 and 516:
Provider and Pharmacy IndexPage 515
Page 517 and 518:
20/20 Eye Vision 334A Plus Home Med
Page 519 and 520:
Amelia Clinical Lab 271America Med
Page 521 and 522:
Bangdiwala Sukhadia, DweepkumarI 25
Page 523 and 524:
Cabrer Pico, Miguel A 38, 41Cabrera
Page 525 and 526:
Castro Montalvo, Justiniano 212Cast
Page 527 and 528:
Colon Blanco, Zidnia M 94, 99, 103,
Page 529 and 530:
Cumba Llavona, Gilmarie 127, 465Cum
Page 531 and 532:
Diaz Villafane, Waleska 451Dieppa M
Page 533 and 534:
Farmacia Del Atlantico 495Farmacia
Page 535 and 536:
Farmacia Rey 490, 495, 496, 498,501
Page 537 and 538:
First Homecare Center, Inc. 219Firs
Page 539 and 540:
Giles Toro, Richard K 37, 249Gilroy
Page 541 and 542:
Guerrero Jimenez, Manuel 142Guerrer
Page 543 and 544:
Instituto Interamericano Del Ojo 34
Page 545 and 546:
Lab. Clinico Bacteriologico Lares27
Page 547 and 548:
Lab. Clinico Los Pinos 264Lab. Clin
Page 549 and 550:
Laboratorios Baco Inc. 273Laborde S
Page 551 and 552:
Lozada Seda, Luis A 132Lozada Serra
Page 553 and 554:
Martinez Perez, Rosendo 461Martinez
Page 555 and 556:
Menendez Morales, Ferdinand C143Men
Page 557 and 558:
Muñiz Bernabe, German 362Muñiz Br
Page 559 and 560:
Ortega Cruz, Hiram D 110Ortega Cruz
Page 561 and 562:
Pearle Vision 3 357Pearle Vision 4
Page 563 and 564:
Porta Del Sol Farma 482Portalatin C
Page 565 and 566:
Ramos Ramos, Carlos 260Ramos Ramos,
Page 567 and 568:
Rivera Navarro, Luis R 55, 57Rivera
Page 569 and 570:
Rodriguez Lugo, Gilberto L 125Rodri
Page 571 and 572:
Rosa Cruz, Orlando L 76Rosa De Jesu
Page 573 and 574:
Sanchez Orta, Iris G 29Sanchez Orti
Page 575 and 576:
Sierra Martinez, Kassandra 107Sierr
Page 577 and 578:
Torres Gonzalez, Michel A 67Torres
Page 579 and 580:
Vazquez Saad, Hector Y 428Vazquez S
Page 581 and 582:
Zapater Rodriguez, Fernando 233Zara
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