| |
501 Ave West Main Suite 1215, Plaza Del Sol, Bayamon, PR 00961-3867 | |
(787) 780-4444 | |
(787) 780-4444 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 501 Ave West Main Suite 1215, Bayamon, Puerto Rico |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689973778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 135 (Puerto Rico) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
90 Parque Medici, Urb Paseo Del Parque, San Juan, PR 00926-6514 Ph: (787) 780-4444 | 501 Ave West Main Suite 1215, Plaza Del Sol, Bayamon, PR 00961-3867 Ph: (787) 780-4444 |