Organization
WALMART SC #5793
Active
Other names
Walmart Vision Center #5793
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE L HERNANDEZ (DIR OF SPECIALTY DIVISIONS)
(787) 653-7777
Entity
Organization
Contact information
Practice address
333 STATE RD 14, COTO LAUREL, PR 00780-0000
(787) 651-0448
(787) 842-0411
Mailing address
333 STATE RD 14, COTO LAUREL, PR 00780-0000
(787) 651-0448
(787) 842-0411
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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