| |
8000 Ave Jesus T Pinero, Suite 15 Plaza Cayey, Cayey, PR 00736-5578 | |
(178) 792-4470 | |
(787) 731-5642 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center |
Location | 8000 Ave Jesus T Pinero, Cayey, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992402598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Provider Name | Luis Aramburu Diaz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225010721 PECOS PAC ID: 1052500667 Enrollment ID: I20110113000390 |
Mailing Address | Practice Location Address |
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2q6 Calle 17, Mirador De Bairoa, Caguas, PR 00727-1006 Ph: (787) 924-4700 | 8000 Ave Jesus T Pinero, Suite 15 Plaza Cayey, Cayey, PR 00736-5578 Ph: (178) 792-4470 |