| NPI | 1689133894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL HERNANDEZ Licensed Optician/Owner 787-909-2549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |