| NPI | 1457818767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS MONTALVO President 787-878-2758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |