Organization
KEM - JIREH OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMANUEL VELAZQUEZ LICENCIADO (LICENCIADO)
(787) 364-7731
Entity
Organization
Contact information
Practice address
CARR 195 KM 4.5 BO CAMPO RICO, CANOVANAS, PR 00729
(787) 364-7761
(787) 655-4656
Mailing address
CALLE ORQUIDEA #60A BZN 671, BUENA VENTURA, CAROLINA, PR 00987-8200
(787) 364-7761
(787) 655-4656
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
586
—
Other
Enumeration date
03/13/2013
Last updated
04/26/2013
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