| NPI | 1467762153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A. LOPEZ O PT Ician 787-285-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |