| NPI | 1063989366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA IRIZARRY Administrator 787-816-7396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |