| NPI | 1598038325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE M FERNANDEZ Manager/Owner 787-300-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |