# PONCE EYE MED INSTITUTE LCC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PONCE EYE MED INSTITUTE LCC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053901629
- **Legal business name:** PONCE EYE MED INSTITUTE LCC
- **Authorized official:** MILTON E IRIZARRY MD (OWNER)
- **Authorized official phone:** (787) 382-5195

## Contact information

- **Practice address:** 44 CALLE MAYOR, EDIFICIO ZAMORA, PONCE, PR 00730-3761
- **Practice address phone:** (787) 848-5353
- **Practice address fax:** (787) 259-4462
- **Mailing address:** 44 CALLE MAYOR, EDIFICIO ZAMORA, PONCE, PR 00730-3761
- **Mailing address phone:** (787) 848-5353
- **Mailing address fax:** (787) 259-4462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2021
- **Last updated:** 01/19/2021