Organization
SPIRIT OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADELINE MELENDEZ (ADMINISTRATOR)
(787) 668-7748
Entity
Organization
Contact information
Practice address
AVE BOULEVARD 3377 LOCAL 1A, TOA BAJA, PR 00949
(787) 998-7748
Mailing address
PO BOX 51829, TOA BAJA, PR 00950-1829
(787) 998-7748
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
615
PR
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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