| NPI | 1912506734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA IRIZARRY Administrator 787-653-2375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2022-12-19 |