Organization
VIOLETA COLLAZO IRIZARRY
Active
Other names
Optica Laboratorio del Sur
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIOLETA COLLAZO (OPTICIAN)
(787) 841-6808
Entity
Organization
Contact information
Practice address
AVE LAS AMERICAS 2431 EDIF A PORRATA PILA SUITE 200, PONCE, PR 00731
(787) 841-6808
(787) 841-6808
Mailing address
PO BOX 10369, PONCE, PR 00732-0369
(787) 841-6808
(787) 841-6808
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
066
PR
Other
Enumeration date
03/04/2008
Last updated
07/21/2008
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