| NPI | 1053024729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA MALDONADO President 787-412-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |