Organization
STAR EYES CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALVADOR TRINIDAD (PRESIDENT)
(787) 463-1845
Entity
Organization
Contact information
Practice address
10 S.O ST., # 1528 CAPARRA TERRACE, SAN JUAN, PR 00921
(787) 463-1845
Mailing address
CALLE 10 S.O. # 1528 CAPARRA TERRAC, SAN JUAN, PR 00921
(787) 941-8089
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2075628
PR
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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