| NPI | 1710129911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE MELENDEZ Licenciado O PT Ico 787-630-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PR 187395) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |