| NPI | 1306119128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER NIEVES Administrator 787-830-5784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PR 12791) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PR 12791) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |