| NPI | 1730940164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C RUIZ REYES Owner 787-356-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-11-15 |