| Le Petit Vision Center Llc | |
|
Consolidated Mall C-22, Ave Gautier Benitez 202 Caguas PR 00725-9998 | |
| (787) 744-2821 | |
| (787) 957-8680 |
| Full Name | Le Petit Vision Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | Consolidated Mall C-22, Ave Gautier Benitez 202, Caguas, Puerto Rico |
| Authorized Official Name and Position | Juan M. Vazquez (PRESIDENT) |
| Authorized Official Contact | 7875041302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Le Petit Vision Center Llc Po Box 9192 Caguas PR 00726-9192 Ph: (787) 744-2821 | Le Petit Vision Center Llc Consolidated Mall C-22, Ave Gautier Benitez 202 Caguas PR 00725-9998 Ph: (787) 744-2821 |
| NPI Number | 1881231546 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 02/02/2021 |
| Medicare PECOS PAC ID | 6507272390 |
|---|---|
| Medicare Enrollment ID | O20210302002022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881231546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Juan M Vazquez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144287129 PECOS PAC ID: 0345565651 Enrollment ID: I20150209001025 |
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