| NPI | 1164600847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDEL JOEL RODRIGUEZ O PT Ician 787-256-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist Optician | |
| 208D00000X General Practice | |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2014-04-14 |