| |
162 Ave Univ Interamericana, San German, PR 00683-4330 | |
(787) 264-3848 | |
(787) 892-2879 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 162 Ave Univ Interamericana, San German, Puerto Rico |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356565493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | 2900158 (Puerto Rico) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
162 Ave Univ Interamericana, San German, PR 00683-4330 Ph: (787) 264-3848 | 162 Ave Univ Interamericana, San German, PR 00683-4330 Ph: (787) 264-3848 |