| NPI | 1740948439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REINALDO SANTIAGO Administrator 939-304-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2024-10-02 |