| NPI | 1710862867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEILEN DE LA HOZ PACHECO Employee 787-844-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-13 |