Organization
SAFETY LENS & EYE WEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EFRAIN DOMINGUEZ OP (OPTICIAN)
(787) 736-2465
Entity
Organization
Contact information
Practice address
216 CALLE MUNOZ RIVERA S, SUITE 3, SAN LORENZO, PR 00754-4215
(787) 736-2465
(787) 736-2465
Mailing address
PLAZA BUXO # 3 MUNOZ RIVERA 216, SAN LORENZO, PR 00754-4216
(787) 736-2465
(787) 736-2465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
PR
156FX1800X
Optician
Primary
—
PR
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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