| NPI | 1962643213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN NIEVES COSME Owner 787-786-3548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: PR #012) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |