| Eye Center Boutique-humacao | |
|
350 State Rd 3 Plaza Palma Real Shopping Center Ste 170 Humacao PR 00986-0895 | |
| (787) 769-6500 | |
| Not Available |
| Full Name | Eye Center Boutique-humacao |
|---|---|
| Speciality | Clinic/center |
| Location | 350 State Rd 3, Humacao, Puerto Rico |
| Authorized Official Name and Position | Angel Marin Marin (OPTICO LIC.) |
| Authorized Official Contact | 7878505222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Center Boutique-humacao Po Box 895 Carolina PR 00986-0895 Ph: (787) 769-6500 | Eye Center Boutique-humacao 350 State Rd 3 Plaza Palma Real Shopping Center Ste 170 Humacao PR 00986-0895 Ph: (787) 769-6500 |
| NPI Number | 1801256870 |
|---|---|
| Provider Enumeration Date | 03/03/2016 |
| Last Update Date | 03/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801256870 | NPI | - | NPPES |
| 584117005 | Other | PR | OPTICO LIC. |
| 331 | Other | PR | OPTICO LIC. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 331 (Puerto Rico) | Primary |
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