Organization
POPULAR VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA TALAVERA (OPTICIAN)
(787) 872-5159
Entity
Organization
Contact information
Practice address
CALLE CORCHADO #77, ISABELA, PR 00662
(787) 872-5159
(787) 872-5159
Mailing address
CALLE CORCHADO #77, ISABELA, PR 00662
(787) 872-5159
(787) 872-5159
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
194
PR
Other
Enumeration date
04/11/2007
Last updated
08/14/2008
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