| NPI | 1801229943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT RIVERA Optician 787-216-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: PR 906) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PR 653) |
| 152W00000X Optometrist (Licence: PR 694) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |