# EYE CARE OF SAN JUAN P S C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EYE CARE OF SAN JUAN P S C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659689875
- **Legal business name:** EYE CARE OF SAN JUAN P S C
- **Authorized official:** LOLITA DELATORRE (ADMINISTRATOR)
- **Authorized official phone:** (787) 289-6600

## Contact information

- **Practice address:** 357 AVE DE LA CONSTITUCION, PUERTA DE TIERRA, SAN JUAN, PR 00901-2208
- **Practice address phone:** (787) 289-6600
- **Practice address fax:** (787) 289-6622
- **Mailing address:** PO BOX 13953, SAN JUAN, PR 00908-3953
- **Mailing address phone:** (787) 289-6600
- **Mailing address fax:** (787) 289-6622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 9085 | PR | Yes |

## Other

- **Enumeration date:** 09/22/2010
- **Last updated:** 11/03/2011