NPI | 1396999835 |
---|---|
Entity Type | Organization |
Authorized Contact | YVETTE ROSA Optometrist/Owner 787-818-2085 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 489) |
Enumeration Date | 2008-11-11 |
Last Update Date | 2008-11-11 |