Organization
SEBASTIAN OPTICAL
Active
Other names
SEBASTION OPTICAL COORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND E CRUZ SOTO (PRESIDENT)
(787) 371-0021
Entity
Organization
Contact information
Practice address
EDIFICIO DR COLBERG LA 100 KM5.3, CABO ROJO, PR 00623
(787) 371-0021
Mailing address
CAR 105INTERSECION 339KM0.8 BA LIMON, MAYAGUEZ, PR 00680-9111
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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