| NPI | 1770825531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON MENDEZ LUGO President/Owner 787-854-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PR 420) |
| 156FX1800X Technician/Technologist Optician | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2023-01-20 |