| NPI | 1275756884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA TALAVERA Optician 787-872-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: PR 194) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-08-14 |