| NPI | 1831244482 |
|---|---|
| Doing Business As | ACTIVE EYES |
| Entity Type | Organization |
| Authorized Contact | JOSE VALLES Vice President 787-740-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PR 144) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PR 136) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |