Organization
AECV.LLC
Active
Other names
CLINICA DR. AUGUSTO CARRION
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTO E CARRION OD (PRESIDENT)
(787) 390-6337
Entity
Organization
Contact information
Practice address
232 CALLE ROBLE, VEGA ALTA, PR 00692-9034
(787) 390-6337
Mailing address
232 CALLE ROBLE, VEGA ALTA, PR 00692-9034
(787) 390-6337
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922301977
NPI
PR
01
—
681
STATE LICENSE
PR
01
—
IC498Z
MEDICARE
PR
Enumeration date
08/30/2021
Last updated
08/30/2021
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