| NPI | 1578298378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE QUINTERO President 787-307-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2026-04-06 |