| NPI | 1184625618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON PACHECO Optometrist 787-749-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PR 518) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PR 89) |
| 152W00000X Optometrist (Licence: PR 103) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |