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Organization

CENTRO OPTICA VISION, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EZEQUIEL OLAVARRIA (PRESIDENTE)
(787) 316-6112
Entity
Organization

Contact information

Practice address
AVENIDA EMERITO ESTRADA RIVERA, NUMERO 544, SAN SEBASTIAN, PR 00685
(787) 316-6112
Mailing address
HC 9 BOX 90610, SAN SEBASTIAN, PR 00685-6519

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
10/17/2011
Last updated
10/17/2011
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