| NPI | 1841145539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANSEN O NEGRON LUGO Owner 787-237-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2026-02-27 |
| Last Update Date | 2026-02-27 |