| NPI | 1386868164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS TOLEDO President 787-309-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PR 645) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PR 645) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-04-11 |