| NPI | 1376686782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO LUIS COLLAZO President 787-728-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2010-09-08 |