# LE PETIT VISION CENTER

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

## Provider details

- **NPI number:** 1235303546
- **Authorized official:** DR. JUAN M VAZQUEZ (OPTOMETRIST)
- **Authorized official phone:** (787) 744-2821

## Contact information

- **Practice address:** CONSOLIDATED MALL C22, CAGUAS, PR 00725
- **Practice address phone:** (787) 744-2821
- **Mailing address:** PO BOX 9192, CAGUAS, PR 00726
- **Mailing address phone:** (787) 744-2821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 309 | PR | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 04/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 058604 | — | PR |