| NPI | 1598837007 |
|---|---|
| Other Name | ANGEL L ALICEA ORTIZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PR 583) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PR 0583) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-09-30 |