Organization
THE OPTICAL SHOP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIDEL RODRIGUEZ TORRES JR. (PRESIDENT)
(787) 823-4545
Entity
Organization
Contact information
Practice address
CARRETERA 115 KM 11.6 BO. PUEBLO, RINCON, PR 00677
(787) 823-4545
(787) 823-4545
Mailing address
PO BOX 464, RINCON, PR 00677-0464
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
594
PR
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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