Organization
AUTENTIC SUNGLASESS & OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAYDA I DELGADO (ADMINISTRATOR)
(787) 743-0215
Entity
Organization
Contact information
Practice address
HC 20 BOX 11066, JUNCOS, PR 00777-9637
(787) 743-0215
(787) 743-0215
Mailing address
AVE. RAFAEL COLDERO, PLAZA CENTRO MALL1 L-K-9, CAGUAS, PR 00777-9657
(787) 743-0215
(787) 743-0215
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
795
PR
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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