Organization
MODO OPTICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA SANTIAGO (PRESIDENT)
(939) 405-4799
Entity
Organization
Contact information
Practice address
PALMAS DE CERRO GORDO CALLE REAL, G-34, VEGA ALTA, PR 00692
(939) 405-4799
Mailing address
PO BOX 1849, DORADO, PR 00646-1849
(939) 405-4799
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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