| NPI | 1114648128 |
|---|---|
| Former Legal Business Name | BENABEVISUALCLINIC |
| Entity Type | Organization |
| Authorized Contact | CARMEN BENABE Owner 787-637-1464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |