| NPI | 1497811491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI A VILLANUEVA Optometry President 787-868-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PR 597) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-10-03 |