| NPI | 1235471459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLIE VALENTIN O PT Ician 787-734-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PR 0146) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-04-18 |