| NPI | 1124455977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL RESTO MEJIAS O PT Ician 787-484-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PR 326) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |