Organization
CLINICA VISUAL DEL OESTE,CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE LUIS MALAVE PEREZ OD (DOCTOR/OWNER)
(787) 891-4400
Entity
Organization
Contact information
Practice address
154 AVE PEDRO ALBIZU CAMPOS, AGUADILLA, PR 00603-5726
(787) 891-4400
(787) 658-6230
Mailing address
154 AVE PEDRO ALBIZU CAMPOS, AGUADILLA, PR 00603-5726
(787) 891-4400
(787) 658-6230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
729-416
PR
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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