| NPI | 1598454506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBELLE PAZ Employeer 787-405-6795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |