| NPI | 1710400015 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | DAVID NARVAEZ SOSTRE O PT Ician 787-772-4710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |