| NPI | 1679299341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEILEN M DE LA HOZ Administrator 787-643-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |