| NPI | 1518186345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL ANTONIO CABRERA Licenciado Optico 787-876-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: PR 750) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |