| NPI | 1205041399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ANCA President 787-824-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PR 584) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |