NPI | 1679962906 |
---|---|
Former Legal Business Name | EYE CENTER BOUTIQUE INC |
Entity Type | Organization |
Authorized Contact | FRANCISCO J. CORDERO-VARGAS Delegated Official 787-617-8850 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PR 276) |
Enumeration Date | 2015-01-09 |
Last Update Date | 2015-01-09 |