| NPI | 1326250275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L FOSSAS BLANCO Medical Doctor 787-740-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: PR 9255) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |