| NPI | 1033910732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN PAUL ULLOA PADILLA Owner 787-430-4119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-12-17 |