| NPI | 1356565493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JOSEFINA RODRIGUEZ Secretary 787-644-7083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: PR 2900158) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-03-13 |