Organization
PEARLE VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRLA KYRENIA ERAUSQUIN O.D. (OPTOMETRY DOCTOR)
(787) 396-6623
Entity
Organization
Contact information
Practice address
15 CALLE GARRIDO MORALES W, FAJARDO, PR 00738-4632
(787) 863-3580
(787) 860-1333
Mailing address
K15 CALLE I, CAROLINA, PR 00987-7138
(787) 396-6623
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
608
PR
Other
Enumeration date
11/21/2005
Last updated
08/22/2020
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