| NPI | 1083395867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADIANNETTE GONZALEZ RODRIGUEZ Owner 787-930-2035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-09-05 |