| NPI | 1447556337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIAN VALLES Owner 787-360-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: PR 343) |
| 332H00000X Eyewear Supplier | |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2024-03-20 |