| NPI | 1063784072 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KARLA J VELEZ QUINTANA President 787-896-7021 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician | 
| Additional Taxonomies | 261Q00000X Clinic/Center | 
| Enumeration Date | 2012-02-07 | 
| Last Update Date | 2024-03-24 |