Organization
SERVICIOS OPTOMETRICOS CSP
Active
Other names
Consultorio Optometrico
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTO SEPULVEDA O.D. (OWNER)
(787) 826-6540
Entity
Organization
Contact information
Practice address
CARR. #2, EDIFICIO B , MULTIPLAZA PR, SUITE #6 BO. CARACOL, KM. 143.3, ANASCO, PR 00610
(787) 826-6540
(787) 826-6520
Mailing address
PO BOX 628, MAYAGUEZ, PR 00681-0628
(787) 826-6540
(787) 826-6520
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
160
PR
Other
Enumeration date
04/27/2007
Last updated
08/22/2020
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