| NPI | 1255156642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA D BURGOS ALICEA Owner 787-420-6139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |