Organization
ADVANCE OPHTALMOLOGY GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS MONTALVO MD (PRESIDENT)
(787) 878-2744
Entity
Organization
Contact information
Practice address
404 AVE DE DIEGO, ARECIBO, PR 00614
(787) 878-2744
(787) 817-3531
Mailing address
PO BOX 140819, AVE JOSE DE DIEGO 404, ARECIBO, PR 00614-0819
(787) 878-2758
(787) 817-3531
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
8647
PR
Other
Enumeration date
10/22/2014
Last updated
12/05/2014
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