Organization
XTREMESIGHT
Active
Parent organization
SUSANA GONZALEZ
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUSANA GONZALEZ
Authorized official
SUSANA GONZALEZ (OWNER)
(787) 941-9800
Entity
Organization
Contact information
Practice address
112 CALLE CARRETA, LUQUILLO, PR 00773-3015
(787) 941-9800
Mailing address
PO BOX 367075, SAN JUAN, PR 00936-7075
(787) 941-9800
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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