Organization
LE PETIT VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN M VAZQUEZ (OPTOMETRIST)
(787) 744-2821
Entity
Organization
Contact information
Practice address
CONSOLIDATED MALL C22, CAGUAS, PR 00725
(787) 744-2821
Mailing address
PO BOX 9192, CAGUAS, PR 00726
(787) 744-2821
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
309
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058604
—
PR
Enumeration date
04/17/2008
Last updated
04/17/2008
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