# STAR EYES CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063758472
- **Authorized official:** MR. SALVADOR TRINIDAD (PRESIDENT)
- **Authorized official phone:** (787) 463-1845

## Contact information

- **Practice address:** 10 S.O ST., \# 1528 CAPARRA TERRACE, SAN JUAN, PR 00921
- **Practice address phone:** (787) 463-1845
- **Mailing address:** CALLE 10 S.O. \# 1528 CAPARRA TERRAC, SAN JUAN, PR 00921
- **Mailing address phone:** (787) 941-8089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 2075628 | PR | Yes |

## Other

- **Enumeration date:** 12/13/2012
- **Last updated:** 12/13/2012