NPI | 1356619746 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL J. MARTINEZ O PT Ico 787-752-5338 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: PR 572) |
Enumeration Date | 2011-12-13 |
Last Update Date | 2017-05-31 |