| NPI | 1417673419 |
|---|---|
| Doing Business As | MIRADA OPTICAL |
| Entity Type | Organization |
| Authorized Contact | KIARA E VELILLA Administrator 787-400-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |