| NPI | 1487942868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN ALVAREZ O PT Ic 787-738-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PR 600) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |