Organization
EYE CARE BOUTIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADIANNETTE GONZALEZ RODRIGUEZ (OWNER)
(787) 930-2035
Entity
Organization
Contact information
Practice address
CARR. 129 KM 9.1, HATILLO, PR 00659
(787) 930-2035
Mailing address
HC 5 BOX 34600, HATILLO, PR 00659-9798
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
07/26/2023
Last updated
09/05/2023
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