Organization
OPTICA ALTA VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILLIAM JORGE (OWNER)
(787) 797-6978
Entity
Organization
Contact information
Practice address
CARR. 829 KM 2.7 BO. PINAS, TOA ALTA, PR 00953
(787) 797-6978
Mailing address
200 CARR 829 STE 5, TOA ALTA, PR 00953-7945
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/25/2008
Last updated
05/10/2012
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